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  • MPI Ethno. Forsch.  (123)
  • Paris : OECD  (123)
  • Social Issues/Migration/Health  (123)
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  • 1
    ISBN: 9789264370623 , 9789264591141 , 9789264788688
    Language: English
    Pages: 1 Online-Ressource (179 Seiten) , Diagramme, Karten, Illustrationen
    Series Statement: OECD rural studies
    Parallel Title: Erscheint auch als Access and cost of education and health services
    Keywords: Bevölkerungsentwicklung ; Alternde Bevölkerung ; Gesundheitskosten ; Bildungsfinanzierung ; EU-Staaten ; Education ; Governance ; Social Issues/Migration/Health ; Urban, Rural and Regional Development
    Abstract: Current population trends and the COVID-19 pandemic reinforce the need for efficient public service provision while guaranteeing good access to all. Population decline and ageing in rural regions affect the provision of services through lower economies of scale and scope, professional shortages and longer distances. Reliable estimates of the costs and access arising from demographic and geographical differences can help adapt the provision of services to different territorial realities. This report provides internationally comparable fine-grained present and future estimates of the cost and physical access to education (primary and secondary) and health services (cardiology, maternity and obstetrics) in European countries. The report finds that demographic change in the next decades will likely further strain the trade-off between costs and access, especially in remote rural areas. Adapting to changes in demand following lower fertility rates and ageing implies that services will need to become more widely available, while others will have to concentrate more. This report aims to support evidence-based policy decisions to ensure service provision allows for both cost efficiency and a sufficient level of access in all territories.
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  • 2
    Online Resource
    Online Resource
    Paris : OECD
    ISBN: 9789264505377
    Language: English
    Pages: 1 Online-Ressource (378 Seiten) , Illustrationen
    Parallel Title: Erscheint auch als COVID-19 and well-being
    Keywords: Coronavirus ; Epidemie ; Lebensqualität ; Zufriedenheit ; Welt ; Education ; Social Issues/Migration/Health ; Employment ; Environment ; Governance
    Abstract: COVID-19 and Well-being: Life in the Pandemic explores the immediate implications of the pandemic for people’s lives and livelihoods in OECD countries. The report charts the course of well-being – from jobs and incomes through to social connections, health, work-life balance, safety and more – using data collected during the first 12-15 months of the pandemic. It also takes stock of what has happened to human, economic, social and natural capital that, beyond their effects on people’s lives today, shape living conditions for years to come. It shows how COVID-19 has had far-reaching consequences for how we live, work and connect with one another, and how experiences of the pandemic varied widely, depending on whether and where people work, their gender, age, race and ethnicity, education and income levels. The report also examines the role that well-being evidence can play in supporting governments’ pandemic recovery efforts. It argues that a well-being lens can prompt policy-makers to refocus on the outcomes that matter the most to people, to redesign policy content from a more multidimensional perspective, to realign policy practice across government silos, and to reconnect people with the public institutions that serve them.
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  • 3
    Language: English
    Pages: 1 Online-Ressource (circa 26 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 242
    Keywords: Telearbeit ; Qualifikation ; Durchführbarkeitsstudie ; OECD-Staaten ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: COVID-19 lockdowns have radically changed the working arrangements for millions of workers. But who are the workers best positioned to work from home? Drawing on data from the OECD Survey of Adult Skills (PIAAC), we show that workers possessing higher levels of skills are significantly more likely to telework in OECD countries. We show that while 30% of workers could telework across the OECD, the likelihood decreases for workers without tertiary education and with lower levels of numeracy and literacy skills. The findings raise important questions with respect to the extent to which the pandemic could exacerbate existing labour market inequalities, and the extent to which these inequalities could further worsen amidst intensified technology adoption in the pandemic’s aftermath.
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  • 4
    Language: English
    Pages: 1 Online-Ressource (circa 47 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 241
    Keywords: Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: In many OECD countries, low productivity growth has coincided with rising inequality. Widening wage and productivity gaps between firms may have contributed to both developments. This paper uses a new harmonised cross-country linked employer-employee dataset for 14 OECD countries to analyse the role of firms in wage inequality. The main finding is that, on average across countries, changes in the dispersion of average wages between firms explain about half of the changes in overall wage inequality. Two thirds of these changes in between-firm wage inequality are accounted for by changes in productivity-related premia that firms pay their workers above common market wages. The remaining third can be attributed to changes in workforce composition, including the sorting of high-skilled workers into high-paying firms.
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  • 5
    Language: English
    Pages: 1 Online-Ressource (circa 64 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 243
    Keywords: Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: The paper provides a summary on the role of family services in promoting child well-being, and then reviews the policy issues at all levels of the family service delivery systems. At the government level, the paper emphasizes the need to fostering collaboration between different government bodies, and to ensure adequate funding for early intervention and preventative services. At service delivery level, the main identified issues include getting a better integration between delivery organisations, building capacities to adapt evidence based interventions, sharing tools to facilitate service implementation, training practitioners with the necessary skills, ensuring that service delivery fits within the local context, and engaging families in services.
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  • 6
    Language: English
    Pages: 1 Online-Ressource (circa 74 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 247
    Keywords: Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: This paper analyses several dimensions of workers’ safety that are relevant in the context of a pandemic. We provide a classification of occupations according to the risk of contagion: by considering a wider range of job characteristics and a more nuanced assessment of infection risk, we expand on the previous literature that almost exclusively looked at feasibility of working from home. We apply our classification to the United States and to European countries and we find that roughly 50% of jobs in our sample can be considered safe, although a large cross-country variation exists, notably in the potential incidence of remote working. We find that the most economically vulnerable workers (low-educated, low-wage workers, immigrants, workers on temporary contracts, and part-timers) are over-represented in unsafe jobs, notably in non-essential activities. We assess the nature of the reallocation of workers from unsafe to safe jobs that is likely to take place in the years to come, and the policies that could mitigate the social cost of this reallocation.
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  • 7
    Language: English
    Pages: 1 Online-Ressource (circa 49 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 249
    Keywords: Employment ; Social Issues/Migration/Health ; Belgium ; Korea, Republic of ; Norway ; Amtsdruckschrift ; Graue Literatur
    Abstract: This paper documents joblessness in OECD countries, provides a detailed diagnosis of structural employment barriers in Belgium, Korea and Norway by applying the OECD Faces of Joblessness methodology to the situation just before the COVID-19 crisis and discusses the policy implications. It shows that individuals experiencing major employment difficulties often face a combination of barriers related to work availability, readiness and incentives. It suggests a number of avenues for enhancing the effectiveness of public support: i) make greater use of statistical profiling tools to adapt programmes to the needs of the jobless and target resources to those at the highest risk of long-term joblessness; ii) better coordinate support provided by employment, health and education services; iii) place a greater emphasis on preventive policies (equal opportunities, life-long learning).
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  • 8
    Online Resource
    Online Resource
    Paris : OECD
    ISBN: 9789264952799
    Language: English
    Pages: 1 Online-Ressource (132 Seiten) , Diagramme
    Parallel Title: Erscheint auch als The future for low-educated workers in Belgium
    Keywords: Ungelernte Arbeitskräfte ; Arbeitsmarkt ; Belgien ; Education ; Employment ; Social Issues/Migration/Health ; Urban, Rural and Regional Development ; Belgium ; Belgien ; Arbeitsmarkt ; Angelernter Arbeiter ; Ungelernter Arbeiter
    Abstract: The world of work is changing as a result of technological progress, globalisation and population ageing. The future of work holds many opportunities, but also presents distinct risks which tend to be greater for some population sub-groups, including low-educated workers. This report documents how the labour market for low-educated workers in Belgium has evolved in recent years and what the future might hold for them in terms of both job quality and quantity. Based on comparisons with neighbouring countries, the report seeks to provide policy advice to ensure that low-educated workers are not left behind by the changes that lie ahead.
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  • 9
    Language: English
    Pages: 1 Online-Ressource (circa 157 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 244
    Keywords: Berufsbildung ; Absolventen ; Arbeitsmarktforschung ; OECD-Staaten ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: This working paper looks at the labour market outcomes of individuals who hold a medium-level VET qualification (defined as upper or post-secondary non-tertiary education with vocational orientation) today, as well as how they have changed in the past 10 to 15 years and what can be expected in the medium-term. It looks at indicators of job quality and quantity, and zooms in on the types of occupations that employ VET graduates. The outcomes of VET graduates younger than 35 years old are compared to those of general education graduates (at the same education level), tertiary education graduates and graduates without an upper secondary education degree. Finally, based on these findings, the report discusses key policy directions to improve VET graduates’ access to high-quality jobs.
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  • 10
    Language: English
    Pages: 1 Online-Ressource (circa 70 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 245
    Keywords: Employment ; Social Issues/Migration/Health ; France ; Amtsdruckschrift ; Graue Literatur
    Abstract: The creation of the Compte Personnel de Formation (CPF), an individualised financing scheme for professional training, marked an important step for the French professional training system. Implemented in 2015, it is the only example at the international level of an individual learning account in which training rights are accumulated over time. Born from a compromise between social partners, the CPF has generated significant improvements in training quality. The law of September 5, 2018 “For the freedom to choose one’s professional future” brought significant changes to the account in order to strengthen the role of the individual in the system, to reduce the role of collective actors – in particular sectors – and to increase that of free competition and market forces. After reviewing the design of the CPF before and after the reform, this paper provides evidence on its use in practice, discusses the extent to which it succeeds in reaching groups usually under-represented in training, as well as issues related to the quality of training. It concludes with a discussion of the CPF strengths and weaknesses.
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  • 11
    Language: English
    Pages: 1 Online-Ressource (circa 41 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 246
    Keywords: Arbeitsbedingungen ; Coronavirus ; Erhebungstechnik ; OECD-Staaten ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: The outbreak of COVID-19 and the unprecedented measures taken by many countries to slow down the spread of the coronavirus caused large economic and psychological costs. This paper uses real time survey data from two waves run at the end of March and in mid-April to provide a snapshot of the actual labour market outcomes in twelve countries. Our study reveals large cross-country differences. At the end of March, when large disparity existed in the diffusion of the pandemic and in the lockdown measures, a large share of employed individuals had stopped working in France (38%) and Italy (47%), but much less in Australia (13%) and the US (10%). Large differences remained in mid-April. Yet, some common patterns emerge. Labour market outcomes varied according to workers’ educational attainments and occupation types. College graduates and white collars worked more from home and less from the regular workplace. Instead, low educated workers and blue collars were more likely to remain in the regular work place or to stop working. Similar patterns emerge with respect to the workers’ (family) income. This evidence suggests that initial labour market effects of COVID-19 (and of the lockdown measures) may have contributed to increase pre-existing inequalities.
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  • 12
    Language: English
    Pages: 1 Online-Ressource (circa 51 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 248
    Keywords: Employment ; Social Issues/Migration/Health ; Korea, Republic of ; Amtsdruckschrift ; Graue Literatur
    Abstract: To reduce the incidence of very long working hours, Korea is gradually implementing a major working-time reform, which lowers the statutory limit on total weekly working hours from 68 to 52 between 2018-2021. This paper provides a preliminary assessment of the reform with three key insights. First, the ongoing reform will bring Korea’s working time regulation in line with the dominant OECD practice. Second, the implementation of the 52-hour limit among large firms reduced the incidence of working more than 52 hours by 5 percentage points or about a fifth of its pre-reform level among employees working overtime. While these results are encouraging, they also suggest that working very long hours remains common, even among large firms that are subject to the new 52-hour limit. Third, two in five workers will remain exempt from the 52-hour limit once it is fully implemented in 2021. The main conclusion is that the reform represents an important step in the right direction, but that further efforts are needed to effectively change Korea’s long working-hour culture.
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  • 13
    Online Resource
    Online Resource
    Paris : OECD
    ISBN: 9789264779891 , 9789264709157 , 9789264461925
    Language: English
    Pages: 1 Online-Ressource (211 Seiten) , Illustrationen
    Series Statement: OECD skills studies
    Parallel Title: Erscheint auch als OECD OECD skills strategy Latvia
    Keywords: Bildungspolitik ; Qualifikation ; Erwachsenenbildung ; Lettland ; Education ; Employment ; Social Issues/Migration/Health ; Latvia
    Abstract: Skills are the key to shaping a better future. Skills are central to the capacity of countries and people to thrive in an increasingly interconnected and rapidly changing world. Megatrends such as globalisation, technological advance and demographic change are reshaping work and society, generating a growing demand for higher levels of skills, as well as new sets of skills. OECD Skills Strategy projects provide a strategic and comprehensive approach to assess countries’ skills challenges and opportunities, and build more effective skills systems. The OECD works collaboratively with countries to develop policy responses that are tailored to each country’s specific skills needs. The foundation of this approach is the OECD Skills Strategy framework, which allows for an exploration of what countries can do better to i) develop relevant skills over the life course, ii) use skills effectively in work and in society, and iii) strengthen the governance of the skills system. This report OECD Skills Strategy Latvia: Assessment and Recommendations identifies opportunities and makes recommendations to strengthen the skills outcomes of students, foster a culture of lifelong learning, reduce skills imbalances in the labour market, and strengthen the governance of the skills system.
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  • 14
    Online Resource
    Online Resource
    Paris : OECD
    ISBN: 9789264642683 , 9789264832350 , 9789264474901
    Language: English
    Pages: 1 Online-Ressource (373 Seiten) , Illustrationen
    Series Statement: PISA 2018 results volume 2
    Series Statement: PISA
    Series Statement: PISA 2018 results
    Parallel Title: Erscheint auch als PISA 2018 results ; volume 2: Where all students can succeed
    Keywords: Education ; Social Issues/Migration/Health
    Abstract: The OECD Programme for International Student Assessment (PISA) examines what students know in reading, mathematics and science, and what they can do with what they know. It provides the most comprehensive and rigorous international assessment of student learning outcomes to date. Results from PISA indicate the quality and equity of learning outcomes attained around the world, and allow educators and policy makers to learn from the policies and practices applied in other countries. This is one of six volumes that present the results of the PISA 2018 survey, the seventh round of the triennial assessment. Volume II, examines gender differences in student performance, and the links between students’ socio-economic status and immigrant background, on the one hand, and student performance and well-being, on the other.
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  • 15
    Online Resource
    Online Resource
    Paris : OECD
    Language: English
    Pages: 1 Online-Ressource (circa 80 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 233
    Keywords: Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: Looking at secondary schools, this paper analyses work-based learning (WBL) as an element of both general education and vocational programmes. The workplace is a powerful learning environment where technical skills can be learnt from expert practitioners using real-life equipment, while also acquiring key soft skills such as teamwork and communication. WBL offers students the opportunity to transition from school to work, while for employers it offers a means of recruitment. However, it can be challenging to engage employers. Quality requires good WBL design and supporting mechanisms. The length and sequencing of WBL are important. The equity risks of WBL also need to be managed. The paper considers different policy messages for schools and jurisdictions.
    Note: Zusammenfassung in französischer Sprache
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  • 16
    Online Resource
    Online Resource
    Paris : OECD
    Language: English
    Pages: 1 Online-Ressource (circa 49 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 228
    Keywords: Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: Routine-biased technological change has emerged as a leading explanation for the differential wage growth of routine occupations, such as manufacturers or office clerks, relative to less routine occupations. Less clear, however, is how the effects of technological advancement on occupational wage trends vary across political-institutional context. This paper investigates the extent to which collective bargaining agreements and union coverage shape the relative wage growth of automatable occupations. Using data from the Luxembourg Income Study and the United States Current Population Survey, I measure the ‘routine task intensity’ of occupations across 15 OECD Member States and the 50 United States from the 1980s onward. Findings suggest that bargaining coverage is more consequential for the wage growth of high routine occupations relative to less routine occupations, and that high routine occupations lose coverage at a faster rate when bargaining coverage at the national level declines. As a result, declines in bargaining coverage within a country are associated with declining relative wage growth for automatable occupations. Estimates suggest that had union coverage in the United States not declined from 1984 levels, the earnings of high routine occupations might have grown at the same rate as low pay occupations between 1984 and 2015, rather than experiencing a relative wage decline. However, the findings also suggest that gains in the relative wage growth may increasingly come at the cost of reduced employment shares of automatable occupations.
    Note: Zusammenfassung in französischer Sprache
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  • 17
    Language: English
    Pages: 1 Online-Ressource (circa 46 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 232
    Keywords: Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: Labour markets across the OECD have polarised in recent decades, as the share of middle skill occupations has declined relative to that of both high- and low skill occupations. This paper shows that, contrary to what is often assumed in the public debate, job polarisation has not resulted in a decline in the share of households with middle-income across 18 OECD countries. Most of the changes in the share of middle-income households result instead from changes in the propensity of workers in different occupations to be in it. In fact the results point to a change in the relationship between occupational skill levels and household income as both middle and high skill jobs increasingly fail to deliver on the promise of the relative income status traditionally associated with their skill level. These changes might help explain some of the social frustration that has been at the centre of the political debate in recent years.
    Note: Zusammenfassung in französischer Sprache
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  • 18
    Language: English
    Pages: 1 Online-Ressource (circa 79 Seiten) , Illustrationen
    Series Statement: OECD health working papers no. 109
    Keywords: Gesundheitsrisiko ; Kinder ; Junge Erwachsene ; Körpergewicht ; Alkoholkonsum ; Bildungsertrag ; Längsschnittanalyse ; Kohortenanalyse ; Deutschland ; Niederlande ; Neuseeland ; Russland ; Großbritannien ; USA ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: Two of the most important health risk factors for children and young adults are obesity and alcohol use. These risk factors are known to affect health and wellbeing, but may also have an impact on educational outcomes. The objective of this study was to assess a potential causal relationship between obesity or alcohol use, and educational outcomes, in Germany, the Netherlands, New Zealand, the Russian Federation, the United Kingdom, and the United States. Longitudinal data from cohort studies was used to establish temporal precedence. To ensure the absence of alternative explanations, regression models were adjusted for known confounders; instrumental variables were used to address endogeneity caused by reverse causality and potential unobserved confounders; and fixed effects analyses were used to correct for unobserved time-invariant confounders. The results suggest that the presence of obesity during childhood, as well as alcohol consumption during childhood, can have a negative impact on educational performance and future educational attainment.
    Note: Zusammenfassung in französischer Sprache
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    URL: Volltext  (lizenzpflichtig)
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  • 19
    Language: English
    Pages: 1 Online-Ressource (circa 58 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 227
    Keywords: Employment ; Social Issues/Migration/Health ; France ; Amtsdruckschrift ; Graue Literatur
    Abstract: The OECD actively supports countries with the implementation of the OECD Jobs Strategy through the preparation of labour market chapters in the OECD Economic Surveys. This paper provides an overview of the analytical work carried out in the context of the 2019 Economic Survey for France. The paper consists of a preliminary assessment of the French labour market reforms since 2017 related to the tax and benefit system, employment protection, and collective bargaining. These reforms are broadly in line with the recommendations of the OECD Jobs Strategy. They are likely to contribute to enhanced employment and living standards of low-skilled workers and reduce labour market duality. However, a close monitoring will be necessary to assess whether their implementation has the desired effects and additional measures are needed.
    Note: Zusammenfassung in französischer Sprache
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  • 20
    Language: English
    Pages: 1 Online-Ressource (circa 59 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 229
    Keywords: Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: This paper introduces a new set of indicators aimed at benchmarking how OECD countries fare in attracting talented migrants. Three different profiles of talent are considered: workers with graduate (master or doctorate) degrees, entrepreneurs, and university students. After providing a definition of the notion of talent attractiveness, this paper develops a conceptual framework for the study of the phenomenon, and discusses the variables used to construct the composite indicators. Sensitivity analysis is performed in order to make sure the indicators are robust to several statistical checks. Finally, the paper documents the attractiveness of OECD countries to the different profiles of talented migrants.
    Note: Zusammenfassung in französischer Sprache
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  • 21
    Online Resource
    Online Resource
    Paris : OECD
    ISBN: 9789264309791 , 9789264309814 , 9789264309807
    Language: English
    Pages: 1 Online-Ressource (211 Seiten) , Illustrationen
    Series Statement: OECD skills studies
    Parallel Title: Erscheint auch als OECD OECD skills strategy Flanders
    Keywords: Bildungspolitik ; Qualifikation ; Erwachsenenbildung ; Flandern ; Education ; Employment ; Governance ; Social Issues/Migration/Health ; Industry and Services ; Belgium ; Flandern ; Erwachsenenbildung ; Bildungspolitik
    Abstract: Better skills policies help build economic resilience, boost employment and reinforce social cohesion. The OECD Skills Strategy provides countries with a framework to analyse their skills strengths and challenges. Each OECD Skills Strategy diagnostic report reflects a set of skills challenges identified by broad stakeholder engagement and OECD comparative evidence while offering concrete examples of how other countries have tackled similar skills challenges. These reports tackle questions such as: How can countries maximise their skills potential? How can they improve their performance in developing relevant skills, activating skills supply and using skills effectively? What is the benefit of a whole-of-government approach to skills? How can governments build stronger partnerships with employers, trade unions, teachers and students to deliver better skills outcomes? OECD Skills Strategy diagnostic reports provide new insights into these questions and help identify the core components of successful skills strategies. This report is part of the OECD’s ongoing work on building effective national and local skills strategies.
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  • 22
    Language: English
    Pages: 1 Online-Ressource (circa 61 Seiten) , Illustrationen
    Series Statement: OECD health working papers no. 108
    Keywords: Sterblichkeit ; EU-Staaten ; OECD-Staaten ; Social Issues/Migration/Health ; European Union ; Amtsdruckschrift ; Graue Literatur
    Abstract: This paper reports on trends in life expectancy in the 28 EU countries and some other high-income OECD countries, and examines potential explanations for the slowdown in improvements in recent years. The slowdown in improvements in life expectancy since 2011 has been greatest in the USA, where life expectancy has fallen in recent years, and the UK, but France, Germany, Sweden and Netherlands have also seen a sharp slowdown. Overall, the pace of mortality improvement has slowed in several EU countries and Australia and Canada since 2011. Diseases of older ages are major contributors to the slowdown. Improvements in cardiovascular (CVD) disease mortality have slowed in many countries, respiratory diseases, including influenza and pneumonia, have claimed excess lives in some winters, and deaths from dementia and Alzheimer's disease are rising. In some countries, notably the USA and the UK, mortality improvements have also slowed or even reversed among working age adults because of the rising numbers dying from drug-related accidental poisoning. The report also considers wider contributing factors. Although some risk factors, such as smoking, excessive alcohol consumption, high blood pressure and cholesterol levels, continue to decline in most EU countries, the prevalence of obesity and diabetes continues to rise. Adverse trends in inequalities could also have an impact if some population groups experience lower gains in longevity than others, thereby reducing the overall gain. Looking ahead, it is unclear whether the current slowdown in mortality improvements in some EU countries and the USA is a long-term trend or not, whether the slowdown in major killers such as CVD will persist, and whether or not the excess winter mortality seen in some years becomes a regular feature given population ageing and increasing numbers of frail, older people. The timely monitoring and investigation of mortality trends, including through international collaboration where possible, can facilitate early implementation of remedial strategies.
    Note: Zusammenfassung in französischer Sprache
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  • 23
    Online Resource
    Online Resource
    Paris : OECD
    Language: English
    Pages: 1 Online-Ressource (circa 66 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 230
    Keywords: Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: This report asks what is happening to middle-skill workers. Driven by mega trends such as automation, ageing and offshoring, the share of jobs whose wages placed them firmly in the middle of the wage distribution has been declining. Termed job polarisation, economists have observed the decline in the share of middle-skill jobs in the majority of OECD labour markets. One little explored question is where are these workers going? This report examines what workers are doing who in the past would have been employed in middle-skill jobs. The report first examines the traits of previous middle-skill workers to build a picture of the “typical” middle-skill worker. Using this profile, the report next examines what types of jobs a worker with the typical middle-skill profile is taking, and how likely such a worker is to be working. The study then analyses different metrics of job stability and compensation to put in perspective what shifts out of middle-skill work imply for labour market outcomes.
    Note: Zusammenfassung in französischer Sprache
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  • 24
    Language: English
    Pages: 1 Online-Ressource (circa 84 Seiten) , Illustrationen
    Series Statement: OECD social, employment and migration working papers no. 231
    Keywords: Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: This study aims at disentangling the returns to formal, non-formal and informal training and fills key knowledge gaps. Informal learning is found to be by far the most common form of job-related learning at work. Learning informally at work is found to be associated with 3.5% higher wages, on top of the wage returns of non-formal training which amount to about 11%. Work environments which apply high performance work organisation practices – i.e. where workers have more autonomy and work in teams – are found to nurture a training culture that yields high returns. Workers in these contexts are 12% more likely to experience informal learning. In addition, they also reap higher returns from the training they attend, both non-formal and informal. This suggests that HPWP may amplify the benefits of learning at work, possibly giving workers more opportunities to turn what they learn into immediate use because of the increased flexibility in organising once work.
    Note: Zusammenfassung in französischer Sprache
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  • 25
    Online Resource
    Online Resource
    Paris : OECD
    ISBN: 9789264307216 , 9789279981142
    Language: English
    Pages: 1 Online-Ressource (306 Seiten)
    Parallel Title: Erscheint auch als Settling in 2018
    DDC: 330
    Keywords: Migranten ; Soziale Integration ; EU-Staaten ; OECD-Staaten ; G20-Staaten ; Education ; Employment ; Social Issues/Migration/Health
    Abstract: This joint OECD-European Commission publication presents a comprehensive international comparison across all EU and OECD countries - as well as selected G20 countries - of the integration outcomes of immigrants and their children, using 74 indicators based on three strands: labour market and skills; living conditions; and civic engagement and social integration. To place the comparison in its proper context, the publication also provides detailed data on the characteristics of immigrant populations and households. Three special-focus chapters are dedicated to examining gender issues, youth with a migrant background, and third-country nationals in the European Union.
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  • 26
    Language: English
    Pages: 1 Online-Ressource (circa 55 Seiten) , Illustrationen
    Series Statement: OECD health working papers no. 107
    Keywords: Gesundheit ; Wissen ; Bildung ; Gesundheitsversorgung ; OECD-Staaten ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: In the 21st century care, the old paradigm “because the doctor said so” no longer holds. Individuals are now seeking ways to understand their health options and take more control over their health decisions. But this is not an easy task. Professionals continue to use medical jargon, drug instructions are not always clear, and health information in clinical settings continue to be complex and challenging to navigate. Widespread access to digital technologies offset some of these barriers by democratising access to health information, providing new ways to improve health knowledge and support self care. Nonetheless, when health information is misused or misinterpreted, it can wrongly influence individuals’ preferences and behaviour, jeopardise their health, or put unreasonable demands on health systems.
    Note: Zusammenfassung in französischer Sprache
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  • 27
    Language: English
    Pages: 1 Online-Ressource (circa 58 Seiten) , Illustrationen
    Series Statement: OECD health working papers no. 106
    Keywords: Gesundheitsversorgung ; Ambulante Behandlung ; OECD-Staaten ; Social Issues/Migration/Health ; Amtsdruckschrift ; Graue Literatur
    Abstract: Building on published patient safety research literature, this paper aims to broaden the existing knowledge base on safety lapses occurring in primary and ambulatory care settings. The findings of this paper show that safety lapses in primary and ambulatory care are common. About half of the global burden of patient harm originates in primary and ambulatory care, and estimates suggest that nearly four out of ten patients experience safety issue(s) in their interaction with this setting. Safety lapses in primary and ambulatory care most often result in an increased need for care or hospitalisations. Available evidence estimates the direct costs of safety lapses – the additional tests, treatments and health care – in primary and ambulatory care to be around 2.5% of total health expenditure. Safety lapses resulting in hospitalisations each year may count 6% of total hospital bed days and more than 7 million admissions in the OECD.
    Note: Zusammenfassung in französischer Sprache
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  • 28
    ISBN: 9789264301030
    Language: English
    Pages: 1 Online-Ressource (200 Seiten) , Illustrationen
    Parallel Title: Erscheint auch als Catching up?
    RVK:
    RVK:
    RVK:
    Keywords: Intergenerationenmobilität ; Migranten ; Österreich ; EU-Staaten ; Frankreich ; Deutschland ; Niederlande ; Schweden ; USA ; Kanada ; Education ; Employment ; Social Issues/Migration/Health
    Abstract: Previous OECD and EU work has shown that even native-born children with immigrant parents face persistent disadvantage in the education system, the school-to-work transition and the labour market. To which degree are these linked with their immigration background, i.e. with the issues faced by their parents? Complementing the report Catching Up? Intergenerational Mobility and Children of Immigrants (OECD 2017), this publication presents seven in-depth country case studies. The countries and regions covered in this publication are Austria, the European Union, France, Germany, the Netherlands, North America and Sweden.
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  • 29
    Online Resource
    Online Resource
    Paris : OECD
    ISBN: 9789264283671
    Language: English
    Pages: 1 Online-Ressource (149 Seiten) , Illustrationen
    Series Statement: Investing in Youth
    Parallel Title: Erscheint auch als Investing in youth
    Keywords: Bildungsinvestition ; Junge Arbeitskräfte ; Jugendliche ; Jugendpolitik ; Norwegen ; Education ; Employment ; Social Issues/Migration/Health ; Norway ; Möbius, Michael 1955- Norwegen ; Jugend ; Berufsausbildung ; Berufsbildungspolitik ; Arbeitsmarkt
    Abstract: The present report on Norway is part of the series on "Investing in Youth" which builds on the expertise of the OECD on youth employment, social support and skills. This series covers both OECD countries and countries in the process of accession to the OECD, as well as some emerging economies. The report provides a detailed diagnosis of youth policies in the areas of education, training, social and employment policies. Its main focus is on young people who are not in employment, education or training (the "NEETs"). Earlier reviews in the same series have looked at youth policies in Brazil (2014), Latvia and Tunisia (2015), Australia, Lithuania and Sweden (2016), Japan (2017).
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  • 30
    ISBN: 9789264285668
    Language: English
    Pages: 1 Online-Ressource (84 Seiten) , Illustrationen
    Series Statement: Development centre studies
    Parallel Title: Erscheint auch als Youth aspirations and the reality of jobs in developing countries
    Keywords: Junge Arbeitskräfte ; Arbeitszufriedenheit ; Karriereplanung ; Entwicklungsländer ; Education ; Social Issues/Migration/Health ; Development ; Industry and Services ; Entwicklungsländer ; Junge Arbeitnehmerin ; Junger Arbeitnehmer ; Arbeitszufriedenheit ; Karriereplanung
    Abstract: Many governments in developing countries are realising that good quality jobs matter for development. However, little attention has been paid so far to explore what actually matters for young people in terms of job characteristics and employment conditions. Today, in many developing and emerging countries, a key development challenge is that existing jobs do not live up to youth aspirations. This study revisits youth labour market performance and the quality of jobs in developing countries. It places youth employment preferences at the forefront and answers the following questions. What is the nature of youth careers aspirations and job-related drivers of job satisfaction? What shapes such employment preferences? How likely will young people be able to meet their job aspirations? What policy makers can do to reduce the gap between youth preferences and the reality of jobs? The study draws on the comprehensive data from school-to-work transition surveys in 32 developing and transition countries in Africa, Asia, Europe and Latin America. It suggests a number of priority areas for policy makers to enhance youth well-being, raise labour productivity, and contain the chilling effects that unmet youth aspirations can generate on society.
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  • 31
    ISBN: 9789264263420
    Language: German
    Pages: 1 Online-Ressource (236 Seiten) , Diagramme
    Edition: Überarbeitete Ausgabe
    Parallel Title: Erscheint auch als Dare to share
    Keywords: Employment ; Social Issues/Migration/Health ; Economics ; Germany ; Deutschland ; Vereinbarkeit von Familie und Beruf
    Abstract: Was sind die Hintergründe und entscheidenden Fragen bei der Förderung einer partnerschaftlichen Aufgabenteilung in Familie und Beruf in Deutschland? Dieser Bericht soll die Politikverantwortlichen in Deutschland darin bestärken, die wichtigen seit Mitte der 2000er Jahre eingeleiteten Reformen weiterzuführen, um die Vereinbarkeit von beruflichen und familiären Pflichten für Väter und Mütter zu verbessern. Für die Familien heißt das: „Mehr Partnerschaftlichkeit wagen“. Die deutschen Erfahrungen werden dabei im internationalen Vergleich untersucht, u.a. mit Blick auf Frankreich und die nordischen Länder, die seit langem eine Politik zur Förderung der Vereinbarkeit von Familie und Beruf sowie zur Stärkung der Geschlechtergleichstellung verfolgen. Der Bericht beginnt mit einem Übersichtskapitel, in dem erklärt wird, warum und wie sich Partnerschaftlichkeit für Familien, Kinder sowie Wirtschaft und Gesellschaft insgesamt auszahlt. Vorgestellt werden aktuelle Daten, Politiktrends sowie detaillierte Analysen der ausschlaggebenden Faktoren für die Aufteilung von bezahlter und unbezahlter Arbeit, einschließlich der Frage, wie mehr Partnerschaftlichkeit in Familie und Beruf zu höheren Geburtenraten führen kann. Außerdem werden Politikmaßnahmen zur Förderung der Partnerschaftlichkeit untersucht, wobei sich der Blick sowohl auf nach wie vor bestehende Unzulänglichkeiten als auch auf die Fortschritte richtet, die mit den seit Mitte der 2000er Jahre eingeleiteten Reformen erzielt wurden. Der Bericht enthält eine Reihe von Politikempfehlungen, deren Ziel es ist, Eltern eine ausgewogenere Aufteilung beruflicher und familiärer Pflichten zu ermöglichen.
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  • 32
    Language: English
    Pages: Online-Ressource (82 S.) , graph. Darst.
    Series Statement: OECD health working papers 79
    Keywords: Alkoholkonsum ; Gesundheitsrisiko ; Sozialstruktur ; Trend ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: Harmful alcohol consumption is one of the leading causes of ill health and premature mortality worldwide. This paper illustrates trends and social disparities in alcohol consumption and harmful drinking in 20 OECD countries. Analyses are based on individual-level data from national health and lifestyle surveys. Alcohol consumption, on average, remained relatively stable in OECD countries over the past 20 years, but with significant variations between countries. However, a closer look at trends and patterns of consumption in specific population groups reveals a more complex picture. Young people are increasingly taking up harmful drinking. Women with high education and high socio-economic status are more likely to engage in harmful drinking than their less educated and less well-off counterparts, while the opposite is observed in men. Levels and patterns of alcohol consumption have an impact on labour market. Heavy alcohol consumption is associated with less employment opportunities, high wage penalties, and lower productivity, whereas light and moderate consumption are associated with positive labour market outcomes. By shedding light on some of the dimensions of alcohol consumption in OECD countries, this paper aims at contributing to the design of appropriate health policies to prevent alcohol-related harms. The findings presented in the paper provide a basis for a quantitative assessment of the impacts of alternative policy options, and may contribute to a better targeting of such policies.
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  • 33
    Online Resource
    Online Resource
    Paris : OECD
    Language: English
    Pages: Online-Ressource (46 S.) , graph. Darst.
    Series Statement: OECD health working papers 82
    Keywords: Psychische Krankheit ; Gesundheitsversorgung ; Schweden ; Social Issues/Migration/Health ; Sweden ; Arbeitspapier ; Graue Literatur
    Abstract: Mental ill-health is a significant issue in Sweden, with both mild-to-moderate and severe disorders representing a significant burden of ill health. Mild and moderate mental health problems constitute the greatest number of cases, and such disorders have been on the rise over the past several decades. However, mental ill-health is also recognised as a vital national issue by Swedish authorities. Accordingly, Sweden has a relatively comprehensive approach to mental health as part of its universal health plan. Sweden was also at the forefront of such trends as deinstitutionalisation and official suicide prevention programs. Country-specific initiatives designed to tackle the most pressing psychological problems in Sweden are in place, including suicide, societal stigma and rising levels of mental problems amongst Swedish youth and workers.
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  • 34
    Language: English
    Pages: Online-Ressource (105 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 168
    Keywords: Berufsbildung ; Erwachsenenbildung ; Bildungsertrag ; OECD-Staaten ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: In this report we investigate the effects of vocational education and training (VET) on adult skills and labour market outcomes by using the PIAAC survey. Data comparability across countries, the breath of countries involved, and the almost unique presence of information on assessed skills, training, earnings and employment makes this survey especially valuable to study the different facets of VET as compared to more academic education.
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  • 35
    Language: English
    Pages: Online-Ressource (46 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 171
    Keywords: 2010 ; Finanzpolitik ; Öffentliche Sozialausgaben ; Einkommensverteilung ; Brasilien ; Chile ; Kolumbien ; Indonesien ; Mexiko ; Peru ; Südafrika ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: This paper examines the redistributive impact of fiscal policy for Brazil, Chile, Colombia, Indonesia, Mexico, Peru and South Africa using comparable fiscal incidence analysis with data from around 2010. The largest redistributive effect is in South Africa and the smallest in Indonesia. Success in fiscal redistribution is driven primarily by redistributive effort (share of social spending to GDP in each country) and the extent to which transfers/subsidies are targeted to the poor and direct taxes targeted to the rich. While fiscal policy always reduces inequality, this is not the case with poverty. Fiscal policy increases poverty in Brazil and Colombia (over and above market income poverty) due to high consumption taxes on basic goods. The marginal contribution of direct taxes, direct transfers and in-kind transfers is always equalizing. The marginal effect of net indirect taxes is unequalizing in Brazil, Colombia, Indonesia and South Africa. Total spending on education is pro-poor except for Indonesia, where it is neutral in absolute terms. Health spending is pro-poor in Brazil, Chile, Colombia and South Africa, roughly neutral in absolute terms in Mexico, and not pro-poor in Indonesia and Peru.
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  • 36
    Language: English
    Pages: Online-Ressource (127 S.) , graph. Darst.
    Series Statement: OECD health working papers 80
    Keywords: Alkoholkonsum ; Gesundheitsrisiko ; Alkoholpolitik ; Mikrosimulation ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: Alcohol policies have significant potential to curb alcohol-related harms, improve health, increase productivity, reduce crime and violence, and cut government expenditure. The WHO Global Strategy to reduce the harmful use of alcohol provides a menu of policy options based on international consensus, which the OECD has used as a starting point in identifying a set of policies to be assessed in an economic analysis based on a computer simulation approach. This working paper provides a comprehensive illustration of the modelling approach, input data and underlying assumptions that have been used to carry out the analyses. The policies assessed in three country settings – Canada, the Czech Republic and Germany – include price policies, regulation and enforcement policies, education programmes and health care interventions. The results of the OECD analyses show that brief interventions in primary care, typically targeting high-risk drinkers, and tax increases, which affect all drinkers, have the potential to generate large health gains. The impacts of regulation and enforcement policies as well as other health care interventions are more dependent on the setting and mode of implementation, while school-based programmes show less promise. Alcohol policies have the potential to prevent alcohol-related disabilities and injuries in hundreds of thousands of working-age people in the countries examined, with major potential gains in their productivity. Most alcohol policies are estimated to cut health care expenditures to the extent that their implementation costs would be more than offset. Health care interventions and enforcement of drinking-and-driving restrictions are more expensive policies, but they still have very favourable cost-effectiveness profiles.
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  • 37
    Language: English
    Pages: Online-Ressource (109 S.) , graph. Darst.
    Series Statement: OECD digital economy papers 246
    Keywords: Alterskrankheit ; Medizin ; Datenverarbeitung ; Data Mining ; Social Issues/Migration/Health ; Science and Technology ; Arbeitspapier ; Graue Literatur
    Abstract: Dementia is increasing in prevalence, and to date has no cure or treatment. One element in improving this situation is using and sharing data more widely to increase the power of research. Further, moving beyond established medical data into big data offers the potential to tap into routinely collected data from both within and outside the health system. In this report, we examine four exemplar data sharing initiatives to better understand data sharing practices in dementia research and recommend the next steps required to move forward, which will require addressing structural issues including aligning incentives and mindsets toward data sharing.
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  • 38
    Language: English
    Pages: Online-Ressource (43 S.) , graph. Darst.
    Series Statement: OECD health working papers 84
    Keywords: 2015 - 2030 ; Öffentliche Ausgaben ; Gesundheitsversorgung ; Häusliche Pflege ; China ; Social Issues/Migration/Health ; China, People’s Republic ; Arbeitspapier ; Graue Literatur
    Abstract: In recent years, China has seen an unprecedented expansion of health insurance for its population in its quest to achieve universal health coverage. By 2011, 95% of the Chinese population was insured up from less than 50% in 2005 through public or employer-based insurance schemes. As part of this move, the structure of health care financing has shifted significantly, such that public sources in 2013 funded well over half of all health spending, compared with just over a third in the early 2000s. In that context, it is important to determine the main drivers of future growth in health spending in the medium term, to assess the possible impact on public budgets. Using a component-based health expenditure model developed at the OECD, future projections of public spending on health care and long-term care are made for OECD and key emerging economies, including China. The uniform cross-country framework allows for consistent international comparisons under different cost-pressure and cost-containment scenarios.
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  • 39
    Language: English
    Pages: Online-Ressource (84 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 166
    Keywords: Arbeitslosenversicherung ; Lohnersatzleistungen ; OECD-Staaten ; EU-Staaten ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: Eligibility criteria for unemployment benefits, which require recipients to actively look for work, take up suitable job offers or take part in active labour market programmes (ALMPs), or risk benefit sanctions, can play an important role in offsetting the negative impact of generous unemployment benefits on employment incentives. This paper presents information on the strictness of eligibility criteria for unemployment benefits for 40 OECD and/or EU member countries. It covers availability requirements during ALMPs and suitable work criteria, job search requirements and monitoring of independent job search effort, and sanctions for voluntary unemployment, refusing a job offer or participation in active labour market measures. These qualitative data are then used to compile a composite indicator of the strictness of eligibility criteria and some comparisons are made with the results of a similar exercise by the OECD in 2011. This indicator complements existing cross-country indicators relating to unemployment benefits, such as net replacement rate data from the OECD Taxes and Benefits Database and data on ALMP expenditure compiled annually by Eurostat and the OECD.
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  • 40
    Online Resource
    Online Resource
    Paris : OECD
    Language: English
    Pages: Online-Ressource (50 S.) , graph. Darst.
    Series Statement: OECD statistics working papers 2015/01
    Keywords: Wirtschaftliche Sicherheit ; Messung ; OECD-Staaten ; Social Issues/Migration/Health ; Economics ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: People feel economically insecure when they perceive a significant hazard or danger looming in the future, which they are unable to insure against, avoid or ignore. While all OECD countries devote significant resources to mitigate economic insecurity, no consensus exists on the best way to measure it. The paper reviews the pros and cons of the main approaches proposed by the literature and identifies a number of criteria than an ideal measure of economic insecurity should satisfy. It advocates the construction of household level sub-indices for the hazards identified in the UN Universal Declaration of Human Rights (i.e. unemployment, illness, widowhood, disability and old age) and their aggregation to an over-all summary measure of economic insecurity, discussing what could be done with existing data and what additional information should be collected.
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  • 41
    Language: English
    Pages: Online-Ressource (70 S.) , graph. Darst., Kt.
    Series Statement: OECD social, employment and migration working papers 160
    Keywords: Finanzkrise ; Wanderungsstatistik ; Hochqualifizierte Arbeitskräfte ; Arbeitsmigranten ; OECD-Staaten ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: Growing international migration and diverse characteristics of migrant populations make internationally comparable high-quality data on migrants essential. Regular update of these data is crucial to capture the changes in size and composition of migrant populations. This document presents the first results of the update of the Database on Immigrants in OECD Countries (DIOC) for 2010/11. It describes immigrant and emigrant populations by socio-demographic characteristics and labour market outcomes in the OECD, and shows their evolution in the past decade. It also provides updated emigration rates and brain drain figures...
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  • 42
    Language: English
    Pages: Online-Ressource (77 S.) , graph. Darst.
    Series Statement: OECD health working papers 78
    Keywords: Krankenhausmanagement ; Pflegeberufe ; Vergütungssystem ; DRG-System ; Deutschland ; USA ; Tschechien ; Israel ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur ; Fallstudie
    Abstract: This study covers “tapering scale” mechanism in hospital payments, i.e. mechanisms linking unit prices to the volume of services produced. This paper begins with an overview of hospital services and hospital payment methods in OECD countries, focusing more specifically on DRG-based payment. It then reviews studies published on economies of scales in hospitals, which is the economic rationale justifying tapering payments. Thereafter, four case studies from Germany, the US State of Maryland, the Czech Republic and Israel offer a detailed insight into the practicalities of introducing this method of controlling hospital volumes and the impacts it has had.
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  • 43
    Online Resource
    Online Resource
    Paris : OECD
    Language: English
    Pages: Online-Ressource (55 S.) , graph. Darst.
    Series Statement: OECD health working papers 81
    Keywords: Psychische Krankheit ; Gesundheitsversorgung ; England ; Social Issues/Migration/Health ; United Kingdom ; Arbeitspapier ; Graue Literatur
    Abstract: As part of a wider project on mental health in OECD countries, a series of descriptive profiles have been prepared, intended to provide descriptive, easily comprehensible, highly informative accounts of the mental health systems of OECD countries. These profiles, entitled ‘Mental Health Analysis Profiles’ (MHAPs), will be able to inform discussion and reflection and provide an introduction to and a synthesised account of mental health in a given country. Each MHAP follows the same template, and whilst the MHAPs are stand-alone profiles, loose cross-country comparison using the MHAPs is possible and encouraged. The English mental health care system can be regarded as one of the clearest examples of a “community care” approach to mental illness, with relatively well established links and networks between mental health care providers and social care providers. Strong links between social support services, for example employment and housing services, and appropriate psychological and medical interventions, have been a priority. Recent developments in the system include the introduction of a programme of talking therapies, IAPT, rolled-out nation-wide, a commitment to introduce waiting times standards for mental health services, and early in 2014 a mental health action plan, Closing the gap: priorities for essential change, which sets out 25 areas for urgent action.
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  • 44
    Language: English
    Pages: Online-Ressource (49 S.) , graph. Darst.
    Series Statement: OECD health working papers 83
    Keywords: Gesundheitsversorgung ; Notaufnahme ; Nachfrage ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: Emergency departments are the front line of health care systems and play a critical role in ensuring an efficient and high-quality response for patients in stress or crisis situations. A growing demand for emergency care might however reduce patients’ satisfaction (through waiting times), increase health provider workload and adversely affect quality of care. This working paper begins with an overview of the trends in the volume of emergency department visits across 21 OECD countries. It then explores the main drivers of emergency department visits in hospital settings, paying attention to both demand and supply side determinants. Thereafter, national approaches instituted by countries to reduce the demand for emergency care and to guarantee a more efficient use of emergency resources are presented.
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  • 45
    Language: English
    Pages: Online-Ressource (50 S.) , graph. Darst.
    Series Statement: OECD health working papers 86
    Keywords: Beschäftigungseffekt ; Körpergewicht ; Rauchen ; Alkohol ; Chronische Krankheit ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: This paper examines the labour market impacts of lifestyle risk factors and associated chronic diseases, in terms of employment opportunities, wages, productivity, sick leave, early retirement and receipt of disability benefits. It provides a review of the evidence of the labour market outcomes of key risk factors (obesity, smoking and hazardous drinking) and of a number of related chronic diseases, along with findings from new analyses conducted on data from a selection of OECD countries. Overall, the evidence suggests that chronic diseases and associated risk factors have potentially large detrimental labour market impacts, but with mixed findings in some areas. Obesity and smoking clearly impair employment prospects, wages and labour productivity. Cardiovascular diseases and diabetes have negative impacts on employment prospects and wages, and diabetes, cancer and arthritis lower labour productivity. Alcohol use, cancer, high blood pressure and arthritis have mixed effects on employment and wages, and are not always linked with increased sickness absence (e.g. cardiovascular diseases and high blood pressure). Finally, this paper stresses the importance of these findings for the economy at large, and supports the use of carefully designed chronic disease prevention strategies targeting people at higher risk of adverse labour market outcomes, which may lead to substantial gains in economic production through a healthier and more productive workforce.
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  • 46
    Language: English
    Pages: Online-Ressource (130 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 172
    Keywords: Elternzeit ; Frauen ; Kinderbetreuung ; Erwerbstätigkeit ; OECD-Staaten ; USA ; Employment ; Social Issues/Migration/Health ; United States ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: The United States is at a crossroads in its policies towards the family and gender equality. Currently America provides basic support for children, fathers, and mothers in the form of unpaid parental leave, child-related tax breaks, and limited public childcare. Alternatively, the United States’ OECD peers empower families through paid parental leave and comprehensive investments in infants and children. The potential gains from strengthening these policies are enormous. Paid parental leave and subsidised childcare help get and keep more women in the workforce, contribute to economic growth, offer cognitive and health benefits to children, and extend choice for parents in finding their preferred work-life strategy. Indeed, the United States has been falling behind the rest of the OECD in many social and economic indicators by not adequately investing in children, fathers and mothers.
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  • 47
    Language: English
    Pages: Online-Ressource (88 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 167
    Keywords: Berufsbildung ; Fachkräfte ; Arbeitsmarktstatistik ; Matching ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: Field-of-study mismatch occurs when workers educated in a particular field work in another. It is conceptually distinct from qualifications or skills mismatch, although a part of qualifications and skills mismatch results from graduates from a particular field having to downgrade to find work in another field. Some studies have identified labour market dynamics related to field-of-study mismatch, but few (if any) have sought to directly understand the interplay between labour supply factors (the types of skills brought to the workplace) and the labour demand factors (the types of skills demanded by employers) in field-of-study mismatch. Using data from the Programme for International Assessment of Adult Competencies’ Survey of Adult Skills (PIAAC), this paper shows that although students may choose to specialise in a particular field, it is not solely up to them to actually work in that field. In accordance with assignment theories, both the degree of saturation of a particular field in the labour market and the level of generic skills of a particular field predict the occurrence of field-of-study mismatch, highlighting that mismatch is the result of both labour supply- and demand-side factors. The paper then evaluates the costs to individuals – in terms of wages, risk of being out of work and job satisfaction. Findings suggest that the costs of field-of-study mismatch may only be high in terms of individual earnings when it is associated to qualification mismatch. For economies, field-of-study mismatch, when associated with qualifications mismatch, can amount to important costs, meriting the attention of policy makers to better aligning course places to skill needs or by encouraging skill transferability across fields.
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  • 48
    Online Resource
    Online Resource
    Paris : OECD
    Language: English
    Pages: Online-Ressource (30 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 169
    Keywords: Betriebliches Bildungsmanagement ; Weiterbildung ; OECD-Staaten ; Fachkräfte ; OECD-Staaten ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: The combination of work and study has been hailed as crucial to ensure that youth develop the skills required on the labour market so that transitions from school to work are shorter and smoother. This paper fills an important gap in availability of internationally-comparable data. Using the 2012 Survey of Adult Skills (PIAAC), it draws a comprehensive picture of work and study in 23 countries/regions. Crucially, it decomposes the total share of working students by the context in which they work (VET, apprenticeships or private arrangements) and assesses the link between field of study and students’ work. The paper also assesses how the skills of students are used in the workplace compared to other workers and identifies the socio-demographic factors and the labour market institutions that increase the likelihood of work and study. Finally, while it is not possible to examine the relationship between work and study and future labour market outcomes at the individual level, some aggregate correlations are unveiled.
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  • 49
    Language: English
    Pages: Online-Ressource (56 S.)
    Series Statement: OECD working papers on public governance 25
    Keywords: 2005 - 2012 ; Good Governance ; Gesundheit ; Zufriedenheit ; Welt ; Governance ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: The paper was prepared by John F. Helliwell, Haifang Huang, Shawn Grover and Shun Wang in collaboration with Mario Marcel, Martin Forst and Tatyana Teplova. This paper has three main objectives. The first is to review existing studies of the links between good governance and subjective well-being. The second is to bring together the largest available sets of nationallevel measures of the quality of governance, and to assess the extent to which they contribute to explaining the levels and changes in life evaluations in 157 countries over the years 2005-2012, using data from the Gallup World Poll already analysed in some detail in the World Happiness Report 2013. The third objective is to use subjective well-being research to suggest ways in which governance can be changed so as to improve lives in all countries, as measured by peoples’ own evaluations. The paper starts with a summary of the evidence and policy implications. There follow the four main sections of the paper, a statistical appendix containing a broad range of data and results, and an extensive annotated bibliography of empirical literature linking good governance and subjective well-being.
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  • 50
    Language: English
    Pages: Online-Ressource (62 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 158
    Keywords: Arbeitsmarkt ; Fachkräfte ; Bildungsabschluss ; Qualifikation ; Anforderungsprofil ; Lohnstruktur ; Wirtschaftswachstum ; OECD-Staaten ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: Human capital is key for economic growth. Not only is it linked to aggregate economic performance but also to each individual’s labour market outcomes. However, a skilled population is not enough to achieve high and inclusive growth, as skills need to be put into productive use at work. Thanks to the availability of measures of both the proficiency and the use of numerous types of skills, the Survey of Adult Skills offers a unique opportunity to advance knowledge in this area and this paper presents and discusses evidence on both these dimensions with a particular focus on their implications for labour market policy. This paper explores the role played in the labour market by skill proficiency in the areas of literacy, numeracy and problem solving in technology-rich environments. It also shows how skills use, not only proficiency, affects a number of key labour market phenomena, such as the gender wage gap. Finally, the paper combines information on skill proficiency, educational attainment, skill use and qualification requirements to construct indicators of qualification and skills mismatch and to explore their causes and consequences.
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  • 51
    Online Resource
    Online Resource
    Paris : OECD
    Language: English
    Pages: Online-Ressource (24 S.) , Ill., graph. Darst.
    Series Statement: OECD Local Economic and Employment Development (LEED) working papers 2014/01
    Series Statement: OECD Local Economic and Employment Development (LEED) Papers no.2014/01
    Keywords: Sozialwirtschaft ; Weibliche Führungskräfte ; Führungsstil ; Innovation ; Ungarn ; Russland ; Chile ; Social Issues/Migration/Health ; Urban, Rural and Regional Development ; Industry and Services ; Chile ; Hungary ; Russian Federation ; Arbeitspapier ; Graue Literatur
    Abstract: After having explained the smaller gender gap in social entrepreneurship compared to commercial entrepreneurship, this paper provides information on female management style and on the innovation capacity of social enteprises led by women. This Report is based on SELUSI data and presents three specific case studies from Hungary, Russia and Chile.
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  • 52
    Online Resource
    Online Resource
    Paris : OECD
    Language: English
    Pages: Online-Ressource (87 S.) , graph. Darst.
    Series Statement: OECD health working papers 71
    Keywords: Psychische Krankheit ; Gesundheitsversorgung ; Italien ; Social Issues/Migration/Health ; Italy ; Arbeitspapier ; Graue Literatur
    Abstract: As part of a wider project on mental health in OECD countries, a series of descriptive profiles have been prepared, intended to provide descriptive, easily comprehensible, highly informative accounts of the mental health systems of OECD countries. These profiles, entitled ‘Mental Health Analysis Profiles’ (MHAPs), will be able to inform discussion and reflection and provide an introduction to and a synthesised account of mental health in a given country. Each MHAP follows the same template, and whilst the MHAPs are stand-alone profiles, loose cross-country comparison using the MHAPs is possible and encouraged. The recent history of mental health in Italy has been one of de-institutionalisation. The significant overhaul undertaken with regards to mental health over the last years is an example of this process: as it moved away from the century-long tradition of restrictive mental health asylums (manicomi) from the late 1970s with the recent process of closures of judicial psychiatric hospitals (Ospedali Psichiatrici Giudiziari – OPG), Italy progressively managed to integrate mental health services within community-based facilities. Focus was no longer on security and on isolating citizens suffering from mental disorders, but rather on patients’ needs and moving towards social integration and rehabilitation.
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  • 53
    Language: English
    Pages: Online-Ressource (51 S.) , graph. Darst.
    Series Statement: OECD health working papers 77
    Keywords: Lohnbildung ; Gesundheitsberufe ; Krankenhaus ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: This paper examines wage setting mechanisms for health workers in hospitals across eight different OECD countries. It describes similarities and differences and how fixed or fluid these approaches have been in recent years through health system reforms, labour market dynamics and economic pressures. Based on a review of grey literature and expert interviews with officials from the covered countries, it finds that prior to the economic downturn, several countries had signalled a shift to more local and flexible wage setting in the hospital sector but this ambition does not seem to have been realised in full for public sector hospitals in most OECD countries. Fiscal pressures have led to some “recentralisation” of wage setting, particularly in France, Portugal and the United Kingdom. While the extent of centralisation has been a question of considerable debate, the countries covered in this paper suggest that the benefits of centralised and/ or co-ordinated wage setting generally appear to have been given more attention by policy makers. The current research base on the effectiveness of different wage setting approaches is limited. Policy-making would benefit from developing a better understanding of the impact of wage setting on improved hospital performance and quality.
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  • 54
    Language: English
    Pages: Online-Ressource (61 S.) , graph. Darst.
    Series Statement: OECD statistics working papers 2014/03
    Keywords: Einkommensverteilung ; Armut ; Messung ; Regionalwissenschaft ; OECD-Staaten ; Social Issues/Migration/Health ; Urban, Rural and Regional Development ; Economics ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: The extent to which income inequality and poverty vary within countries across different regions is very relevant for policy decisions and monitoring. However, sub-national measures are scarce, given the complexity of producing indicators at the regional level from the available data and the methodological issues related to cross-countries comparability. This paper presents a set of indicators of income inequality and poverty across and within regions for 28 OECD countries. These indicators were produced through a new household-level data collection based on internationally harmonized income definitions undertaken as part of the OECD project on “Measuring regional and local well-being for policymaking”. The data were collected at the OECD TL2 territorial level, corresponding to NUTS2 regions in Europe and to large administrative subdivisions (e.g. States in Mexico and Unites States) for non-European countries. These estimates confirm that there are significant variations in levels of income inequality within countries, and that regional breakdowns are useful for understanding sources and patterns of income disparities and poverty. For most of the countries relying on survey data for measuring income distribution, standard cross-sectional indicators of income inequality and relative poverty at this regional level are estimated with low precision in the smallest regions due to small samples. This has two main implications for data producers and analysts. First, systematic reporting of confidence intervals is needed to make meaningful comparisons of inequality levels across regions and with respect to the national averages. Second, averaged measures for multiple years or small area estimation methods should be considered as means for obtaining more robust measures. The issues related to the estimation of standard errors for three-year averages in rotational panel surveys and to the definition of the computational sampling structure for sub-national estimates are discussed in the paper.
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  • 55
    Language: English
    Pages: Online-Ressource (39 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 161
    Keywords: Psychische Krankheit ; Gesundheit ; Arbeitsleistung ; Soziale Kosten ; OECD-Staaten ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: Mental ill-health can lead to poor work performance, high sickness absence and reduced labour market participation, resulting in considerable costs for society. Improving labour market participation of people with mental health problems requires well-integrated policies and services across the education, employment, health and social sectors. This paper provides examples of policy initiatives from 10 OECD countries for integrated services. Outcomes and strengths and weaknesses of the policy initiatives are presented, resulting in the following main conclusions for future integrated mental health and work policies and services: More rigorous implementation and evaluation of integrated policies is necessary to improve labour market outcomes. Implementation cannot be left to the discretion of stakeholders only; Better financial incentives and clearer obligations and guidelines need to be provided to stakeholders and professionals to participate in integrated service delivery; Each sector has a responsibility to assure integrated services in line with client needs, in turn requiring much better knowledge about the needs of clients with a mental illness; More integrated provision of services within each sector – e.g. through employment advice brought into the mental health system and psychological expertise brought into employment services – appears to be the easiest and most cost-effective approach.
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  • 56
    Language: English
    Pages: Online-Ressource (28 S.)
    Series Statement: OECD development co-operation working papers 16
    Keywords: Klimawandel ; Wetter ; Soziale Sicherheit ; Entwicklungsländer ; Environment ; Social Issues/Migration/Health ; Development ; Arbeitspapier ; Graue Literatur
    Abstract: Climate change has already resulted in climate-related extreme events of greater frequency and/or intensity. This, along with long-term changes in average conditions (whether in temperature or rainfall), is likely to continue to have a major impact on livelihoods. Developing countries will be especially affected by such events – and more specifically, the poor people in developing countries – because of their geographical exposure and their greater reliance on climate-sensitive sectors such as agriculture. Social protection offers a wide range of instruments (e.g. cash transfers, insurance products, pension schemes and employment guarantee schemes) that can be used to support households that are particularly vulnerable to both the ongoing and acute impacts of climate changes. Although the evidence base showing how these measures can help those affected prevent and cope with climate challenges is still limited, this paper aims to provide a condensed review of the current knowledge and evidence about the role of social protection in reducing the impact of climate change on the poorest populations and provides a series of recommendations for both social protection and climate change practitioners and for strengthening the evidence base.
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  • 57
    Language: English
    Pages: Online-Ressource (92 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 159
    Keywords: Einkommensverteilung ; Einkommensteuer ; OECD-Staaten ; Social Issues/Migration/Health ; Taxation ; Economics ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: The shares of top income recipients in total pre-tax income have increased in OECD countries in the past three decades, particularly in most of the English-speaking countries but also in some Nordic (from low levels) and Southern European countries. Today, the richest one percent receives between 7% of all pre-tax income in Denmark and the Netherlands up to almost 20% in the United States. This increase is the result of the top 1% capturing a disproportionate share of overall income growth over the past thirty years: around 20 – 25% in Australia and the United Kingdom, up to 37% in Canada and even 47% in the United States. At the same time, tax reforms in almost all OECD countries reduced top personal income tax rates as well as rates of other taxes affecting the highest income earners. Indeed, while top tax rates were equal to or above 70% in half of the countries in the mid-1970s, this rate has been halved in many countries by 2013.
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  • 58
    Online Resource
    Online Resource
    Paris : OECD
    Language: English
    Pages: Online-Ressource (74 S.) , graph. Darst.
    Series Statement: OECD health working papers 72
    Keywords: Psychische Krankheit ; Gesundheitsversorgung ; Finnland ; Social Issues/Migration/Health ; Finland ; Arbeitspapier ; Graue Literatur
    Abstract: As part of a wider project on mental health in OECD countries, a series of descriptive profiles have been prepared, intended to provide descriptive, easily comprehensible, highly informative accounts of the mental health systems of OECD countries. These profiles, entitled ‘Mental Health Analysis Profiles’ (MHAPs), will be able to inform discussion and reflection and provide an introduction to and a synthesised account of mental health in a given country. Each MHAP follows the same template, and whilst the MHAPs are stand-alone profiles, loose cross-country comparison using the MHAPs is possible and encouraged. Mental health disorders comprise one of the highest burdens of disease in Finland. The share of disability pensions granted due to mental disorders is high and while the rates of suicide have decreased in recent years, they are still above the OECD average. Consequently, tackling mental ill health is a government priority for Finland. The mental health system has undergone a number of reforms in recent years, and several innovative initiatives have been introduced. Whilst a number of challenges remain, the evolution of the mental health system has been promising, and holds lessons for other OECD countries.
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  • 59
    Language: English
    Pages: Online-Ressource (62 S.) , graph. Darst.
    Series Statement: OECD health working papers 75
    Keywords: Gesundheitskosten ; Gesundheitsstatistik ; Vergleich ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: Health services account for a large and increasing share of production and expenditure in OECD and Eurostat countries but there are also noticeable differences between countries in expenditure per capita. Whether such differences are due to more services being consumed or whether they reflect differences in the price of services is a question of significant policy relevance. Yet, cross-country comparisons of health services have typically not disentangled these effects. This paper presents the results of a joint effort between OECD and Eurostat in developing price comparisons for health goods and services. The main novel feature is the collection of comparable and output-based prices for hospital services that can then be applied to matching national accounts expenditure data so as to derive consistent price and volume comparisons of health products. The data is novel in that it reflects “quasi prices” (negotiated or administrative prices or tariffs) of the output of hospital services, instead of prices of inputs such as wages of medical personnel. The new methodology moves away from the traditional input perspective, thereby relaxing the assumption that hospital productivity is the same across countries...
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  • 60
    Language: English
    Pages: Online-Ressource (37 S.) , graph. Darst., Kt.
    Series Statement: OECD social, employment and migration working papers 155
    Keywords: Arbeitsmarktpolitik ; Wirtschaftskrise ; Arbeitsmigranten ; Eurozone ; Europa ; USA ; Social Issues/Migration/Health ; United States ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: The question of whether migration can be an equilibrating force in the labour market is an important criterion for an optimal currency area. It is of particular interest currently in the context of high and rising levels of labour market disparities, in particular within the Eurozone where there is no exchange-rate mechanism available to play this role. We shed some new light on this question by comparing pre- and post-crisis migration movements at the regional level in both Europe and the United States, and their association with asymmetric labour market shocks. We find that recent migration flows have reacted quite significantly to the EU enlargements in 2004 and 2007 and to changes in labour market conditions, particularly in Europe. Indeed, in contrast to the pre-crisis situation and the findings of previous empirical studies, there is tentative evidence that the migration response to the crisis has been considerable in Europe, in contrast to the United States where the crisis and subsequent sluggish recovery were not accompanied by greater interregional labour mobility in reaction to labour market shocks. Our estimates suggest that, if all measured population changes in Europe were due to migration for employment purposes – i.e. an upper-bound estimate – up to about a quarter of the asymmetric labour market shock would be absorbed by migration within a year. However, in the Eurozone the reaction mainly stems from migration of third-country nationals. Even within the group of Eurozone nationals, a significant part of the free mobility stems from immigrants from third countries who have taken on the nationality of their Eurozone host country.
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  • 61
    Language: English
    Pages: Online-Ressource (65 S.) , graph. Darst.
    Series Statement: OECD health working papers 69
    Keywords: Ärzte ; Gesundheitsversorgung ; Räumliche Verteilung ; Gesundheitspolitik ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: Doctors are distributed unequally across different regions in virtually all OECD countries, and this causes concern about how to continue to ensure access to health services everywhere. In particular access to services in rural regions is the focus of attention of policymakers, although in some countries, poor urban and sub-urban regions pose a challenge as well. Despite numerous efforts this mal-distribution of physician supply persists. This working paper first examines the drivers of the location choice of physicians, and second, it examines policy responses in a number of OECD countries...
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  • 62
    Language: English
    Pages: Online-Ressource (62 S.) , graph. Darst.
    Series Statement: OECD health working papers 70
    Keywords: Gesundheitskosten ; Ärzte ; Preismanagement ; Krankenhaus ; Privatwirtschaft ; Wettbewerbspolitik ; Vergleich ; OECD-Staaten ; Südafrika ; Social Issues/Migration/Health ; South Africa ; Arbeitspapier ; Graue Literatur
    Abstract: Major disparities in the cost of health care have made the pricing of specialist and hospital services a contentious issue in South Africa, particularly in the private sector. To help inform policy debate, this paper profiles selected experiences on the pricing of health services, competition policy and models of buying specialist health care services from the private sector across the OECD. Firstly, South Africa is compared to OECD countries to identify countries where voluntary private health insurance – the major source of financing for private hospitals – plays a similar role. Second, this paper provides an overview of price setting across OECD health care systems. It then covers the economic rationale and the institutional arrangements which OECD countries have established to set prices, before moving to an overview of competition policy considerations surrounding these arrangements. Finally, the paper highlights a few models of buying services from the private sector for public patients, with a particular focus on Mexico and Turkey. It is argued that South Africa should separate the task of establishing a schedule of medical services from negotiations over overall payments to medical professionals.
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  • 63
    Language: French
    Pages: Online-Ressource (41 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 156
    Keywords: Arbeitslosigkeit ; Altersvorsorge ; Frankreich ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: This article analyses age differences in several labour market outcomes in France for participants of intensive case management programmes, delivered in 2009 and 2010 by the public employment service (PES) or private providers. These programmes are different from the intensive case management service introduced from 2013 by the PES in its new services offer (strategic plan « Pôle emploi 2015 »)...
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  • 64
    Language: English
    Pages: Online-Ressource (90 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 157
    Keywords: Familienpolitik ; Wirkungsanalyse ; OECD-Staaten ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: This paper presents new information on trends in family and child outcomes and policies over the past decades, in order to assess whether there has been any convergence over time across OECD and EU countries. Important drivers of population structure such as life expectancy and fertility rates are becoming more similar across countries as are marriage and divorce rates. Increased educational attainment has contributed to greater female employment participation and convergence therein across countries. Child well-being outcomes show a more mixed pattern with improvements and convergence in infant mortality, but varying trends in child poverty across countries.
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  • 65
    Language: English
    Pages: Online-Ressource (90 S.) , graph. Darst.
    Series Statement: OECD health working papers 73
    Keywords: Psychische Krankheit ; Gesundheitsversorgung ; Niederlande ; Social Issues/Migration/Health ; Netherlands ; Arbeitspapier ; Graue Literatur
    Abstract: As part of a wider project on mental health in OECD countries, a series of descriptive profiles have been prepared, intended to provide descriptive, easily comprehensible, highly informative accounts of the mental health systems of OECD countries. These profiles, entitled ‘Mental Health Analysis Profiles’ (MHAPs), will be able to inform discussion and reflection and provide an introduction to and a synthesised account of mental health in a given country. Each MHAP follows the same template, and whilst the MhAPs are stand-alone profiles, loose cross-country comparison using the MhAPs is possible and encouraged. The Dutch mental health system is highly institutionalised and has a large number of psychiatric beds compared to other OECD countries. Nonetheless, government reforms have aimed at shifting the axis of the system from bed-based hospital services to more integrated mental health services and community-based services. Structural changes to the Dutch mental health system, together with recent government policies that aim to improve access to mental health services, have led to decreasing the treatment gap for mental disorders but also to increasing the expenditures associated with mental health care up until 2011.
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  • 66
    Online Resource
    Online Resource
    Paris : OECD
    Language: English
    Pages: Online-Ressource (69 S.) , graph. Darst.
    Series Statement: OECD health working papers 74
    Keywords: Psychische Krankheit ; Gesundheitsversorgung ; Schottland ; Social Issues/Migration/Health ; United Kingdom ; Arbeitspapier ; Graue Literatur
    Abstract: As part of a wider project on mental health in OECD countries, a series of descriptive profiles have been prepared, intended to provide descriptive, easily comprehensible, highly informative accounts of the mental health systems of OECD countries. These profiles, entitled ‘Mental Health Analysis Profiles’ (MHAPs), will be able to inform discussion and reflection and provide an introduction to and a synthesised account of mental health in a given country. Each MHAP follows the same template, and whilst the MHAPs are stand-alone profiles, loose cross-country comparison using the MHAPs is possible and encouraged. Mental health is a priority area within the Scottish health care agenda. In the Scottish mental health system significant focus is given to recovery, service user involvement, anti-stigma initiatives, and suicide reduction strategies. Amongst the peculiarities, and strengths, of the Scottish mental health system are its focus on data collection, monitoring and evaluation, with a strong focus on improvement and delivery, as data collection and mental health indicators are turned into a management tool for policy makers. However, better indicators could be developed to monitor specialist mental health services delivered in the community.
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  • 67
    Language: English
    Pages: Online-Ressource (54 S.) , graph. Darst.
    Series Statement: OECD health working papers 76
    Keywords: 2008 ; Wirtschaftskrise ; Wirkungsanalyse ; Konjunkturstatistik ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: The economic crisis that started in 2008 has had a profound impact on the lives of citizens. Millions of people lost their job, saw their life-savings disappear and experienced prolonged financial hardship. The economic crisis has also led a number of OECD governments to introduce austerity measures to reduce public deficits. The health sector, like many other social welfare programmes, has witnessed extensive spending cuts and has also been the subject of substantial reforms. The combined effects of economic crisis, austerity and reforms have led many OECD health systems into unchartered territory. This paper looks at the impact of economic crisis on health and health care. It summarises findings from the published literature on the effects of economic crisis that took place over the past few decades and also describes recent health policy reforms, focusing on those countries where the economic crisis has hit hardest. Finally, this paper analyses the empirical relationship between unemployment and health care use, quality and health outcomes, using data from OECD Health Statistics. In doing so, it investigates whether the effects of unemployment on health outcomes have been extenuated by austerity measures...
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  • 68
    Language: English
    Pages: Online-Ressource (57 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 154
    Keywords: Absolventen ; Arbeitsuche ; Karriereplanung ; Schwellenländer ; Industrieländer ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: Improving school-to-work transitions and ensuring better career opportunities for youth after labour market entrance are common goals in emerging and advanced economies as they can contribute to raising the productive potential of the economy and to increasing social cohesion. However, the challenges faced in achieving these objectives and the policies required vary between emerging and advanced economies. This paper analyses youth labour market outcomes in 16 countries: eight emerging countries and eight advanced economies. In light of this analysis, it also discusses differences and similarities in the policy measures countries have at their disposal to tackle the key emerging challenges.
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  • 69
    Language: English
    Pages: Online-Ressource (24 S.) , graph. Darst.
    Series Statement: OECD health working papers 68
    Keywords: 2008 - 2012 ; Gesundheitskosten ; Wirtschaftskrise ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: The global economic crisis which began in 2008 has had a dramatic effect on health spending across OECD countries. Estimates of expenditure on health released back in 2012 showed that, for the first time, health spending had slowed markedly or fallen across many OECD countries after years of continuous growth. As a result, close to zero growth in health expenditure was recorded on average in 2010. Preliminary estimates suggested that the low or negative growth in health spending was set to continue in many OECD countries in following years...
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  • 70
    Language: English
    Pages: Online-Ressource (58 S.) , graph. Darst.
    Series Statement: OECD economic policy papers 11
    Keywords: Gesundheitsversorgung ; Arbeitslosenversicherung ; Soziale Sicherheit ; Altersvorsorge ; Indonesien ; BRICS-Staaten ; Social Issues/Migration/Health ; Economics ; Arbeitspapier ; Graue Literatur
    Abstract: Social institutions face many challenges. The recent economic crisis has provided a stress test as it has left a legacy of high unemployment and high government debt in many countries. It also lowered potential output and thus the revenue base for social protection schemes. At the same time, ageing and other secular trends raise long-term sustainability issues. The design of social institutions determines their capacity to deal with shocks and trend changes and the way risks are shared between the institutions and their stakeholders. They also circumscribe the scope for automatic or discretionary adjustments, when trade-offs between sustainability, adequacy and efficiency arise. This report examines the sustainability of social institutions and their ability to absorb and cope with short-term shocks and longer-term trends by providing risk sharing and expenditure smoothing, focusing on pension, health care and unemployment insurance schemes.
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  • 71
    Language: English
    Pages: Online-Ressource (40 S.) , graph. Darst.
    Series Statement: OECD digital economy papers 233
    Keywords: Alterskrankheit ; Medizin ; OECD-Staaten ; Social Issues/Migration/Health ; Science and Technology ; Arbeitspapier ; Graue Literatur
    Abstract: More than 35 million people worldwide had dementia in 2010, when annual costs were estimated at USD 604 billion; the number of people with dementia is expected to exceed 115 million by 2050. Alzheimer’s disease is today considered the prototype problem for the Grand Global Challenge in healthcare. Despite decades of intensive research, the causal chain of mechanisms behind Alzheimer’s has remained elusive as reflected in recent failures of well-designed clinical trials on promising investigational new drugs. The multi-factorial nature of the disease requires the collection, storage and processing of increasingly large and very heterogeneous datasets (behavioural, genetic, environmental, epigenetic, clinical data, brain imaging, etc.). No one nation has all the assets to pursue this type of research independently. In an effort to tackle this huge challenge, the OECD held a consultation on "Unlocking Global Collaboration to Accelerate Innovation for Alzheimer’s Disease and Dementia" which looked at ways to harness developments in life sciences and information technologies to accelerate innovation in the prevention and treatment of the disease. This paper reports on the opportunities offered by the informatics revolution and big data. Creating and using big data to change the future of Alzheimer’s and dementia requires careful planning and multi-stakeholder collaboration. Numerous technical, administrative, regulatory, infrastructure and financial obstacles emerge and will need to be hurdled to make this vision a reality.
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  • 72
    Language: English
    Pages: Online-Ressource (104 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 146
    Keywords: Kinder ; Sozialer Indikator ; Welt ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: This report evaluates sources of international child well-being data to assess their suitability for supplementing national and transnational data sources to inform policy. The review of the leading surveys of children (and surveys of households with children) summarises the information available from these sources and, as importantly, identifies the gaps in measuring child well-being outcomes not covered by data from these sources. The report then undertakes an in-depth evaluation of possible systematic bias in the underlying survey population to provide confidence in the reliability of outcomes measured from these international surveys. Based on the overall evaluation, the report concludes with recommendations for the use and improvement of international surveys for monitoring child well-being.
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  • 73
    Language: English
    Pages: Online-Ressource (59 S.) , graph. Darst.
    Series Statement: Working paper / OECD Development Centre 325
    Series Statement: OECD Development Centre Working Papers no.325
    Keywords: Entwicklung ; Gesundheit ; Zufriedenheit ; Entwicklungsländer ; Social Issues/Migration/Health ; Development ; Economics ; Arbeitspapier ; Graue Literatur
    Abstract: A wide range of voices around the world have stressed the need to understand development as a multidimensional phenomenon that involves and affects many aspects of people’s lives. Increasingly, it is recognised that current well-being and its long-term sustainability are the ultimate goals of development and that these notions better capture the human experience of development. The objectives of this paper are to explain why well-being matters in countries at different levels of development and to address measurement challenges in the context of developing countries. These objectives are pursued in four main steps. First, the paper offers a conception of well-being and illustrates its relevance in different development contexts. Second, it describes briefly how the measurement of well-being is implemented under the OECD Better Life Initiative for OECD countries. Third, it proposes ways in which the OECD framework can be adapted to specific development contexts and thereby made more universal, by suggesting relevant well-being dimensions and indicators that could be used to measure well-being in developing countries. Finally, it discusses the possible implications of the adapted framework for OECD work in developing countries, in particular its possible use in the Multi-Dimensional Country Reviews conducted by the OECD Development Centre for a range of non OECD countries.
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  • 74
    Online Resource
    Online Resource
    Paris : OECD
    ISBN: 9789264204898
    Language: English
    Pages: 104 S.
    Edition: Online-Ausg. Online-Ressource
    Series Statement: OECD skills studies
    Parallel Title: Erscheint auch als Time for the US to reskill?
    Keywords: Bildungsniveau ; Analphabetismus ; Erwachsenenbildung ; USA ; Education ; Social Issues/Migration/Health ; United States ; Statistik ; USA ; Erwachsenenbildung ; Funktionaler Analphabetismus
    Abstract: The ‘basic skills’ of literacy and numeracy are among the most fundamental attributes of human beings and their civilization, lying at the root of our capacity to communicate and live and work together, to develop and share knowledge, science and culture. Their contribution to workforce skills have increasingly been recognized as critical to economic success, while evidence on gaps in adult basic skills and the link with economic and social outcomes has also been growing, both at national and international level (e.g. International Survey of Adult Skills of 1994-98 and Adult Literacy and Life Skills Survey of 2003-2007). Most tellingly, there has been a belated realization that despite universal basic education in advanced countries, some adults have slipped through the net, leaving them with very weak literacy and numeracy. All of these factors underline the importance of the OECD’s new international Survey of Adult Skills. This report on skills in the US draws out the policy implications of the Survey for the US, while also making use of some additional data collected for the Survey on the US alone. The study does not directly evaluate relevant US policies and programs – such as schooling and adult education. Instead it identifies in the results of the Survey some key lessons about the strategic objectives and directions which should form a frame for policy development in the US, including policy on adult learning and schooling.
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  • 75
    Language: English
    Pages: Online-Ressource , graph. Darst.
    Series Statement: OECD Economics Department working papers 1010
    Keywords: Gesundheitsreform ; Krankenversicherung ; Pflegereform ; Niederlande ; Social Issues/Migration/Health ; Economics ; Netherlands ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: The Netherlands, as other OECD countries, faces the challenge of providing high quality health and long-term care services to an ageing population in a cost-efficient manner. In the health care sector, reforms have aimed at introducing more competition. Despite major changes and some positive effects, the reforms run the risk of getting stuck in the middle between a centralised system of state-controlled supply and prices and a decentralised system based on regulated competition, providing insufficient incentives for provision of quality services and expenditure control. The main challenges are to complete the transition to regulated competition in health care provision, to strengthen the role of health insurers as purchasing agents and to secure cost containment in an increasingly demand-driven health care sector. In 2012, reforms expanded the role of the market in the hospital sector and reinforced budget controls. Both measures are not consistent and may jeopardize both objectives. More competitive markets require, at least, provision of good quality information, appropriate financing and better efficiency incentives. In view of population ageing, current policies mean that the cost of long-term care is set to more than double over the coming decades. Insufficient incentives for cost-efficient purchasing of long-term care should be addressed. However, the government?s plan to transfer long-term care purchasing to health insurers is unpromising unless additional measures ensure that insurers bear the associated financial risks. In addition, home care should be further encouraged at the expense of institutional care, while screening and targeting should be improved. This Working Paper relates to the 2012 OECD Economic Survey of the Netherlands (www.oecd.org/eco/surveys/Netherlands.
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  • 76
    Language: English
    Pages: Online-Ressource (92 S.) , graph. Darst., Kt.
    Series Statement: OECD Local Economic and Employment Development (LEED) working papers 2013/06
    Series Statement: OECD Local Economic and Employment Development (LEED) Papers no.2013/06
    Keywords: Bevölkerungsentwicklung ; Kleinpolen ; Social Issues/Migration/Health ; Urban, Rural and Regional Development ; Industry and Services ; Poland ; Arbeitspapier ; Graue Literatur
    Abstract: This paper outlines the findings of the Poland case study of the Malopolska region for the international project, Local scenarios of demographic change. The Malopolska region is located in the southern part of Poland, boarding Slovakia, and was created in 1999 from voivodship amalgamations of Krakow, Nowy Sacz, and parts of Bielsko-Biala, Kielce, Katowice, Krosno and Tarnów. Although the population size will not change dramatically over the next few years, the consequences of population ageing are and will be challenging. The region has much potential in various sectors that can be exploited in preparation for the demographic transition. The paper presents various examples of initiatives and projects related to demographic issues (older workers, older persons, and families), however, awareness of demographic challenges and the need for better policy implementation are key priorities at the regional/local level.
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  • 77
    Language: English
    Pages: Online-Ressource (67 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 140
    Keywords: Kohortenanalyse ; Elternzeit ; Kinder ; Kognition ; Großbritannien ; Australien ; USA ; Dänemark ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: Previous research has shown that fathers taking some time off work around childbirth, especially periods of leave of 2 or more weeks, are more likely to be involved in childcare related activities than fathers who do not do so. Furthermore, evidence suggests that children with fathers who are ‘more involved’ perform better during the early years than their peers with less involved fathers. This paper analyses data of four OECD countries — Australia; Denmark; United Kingdom; United States — to describe how leave policies may influence father’s behaviours when children are young and whether their involvement translates into positive child cognitive and behavioural outcomes. This analysis shows that fathers’ leave, father’s involvement and child development are related. Fathers who take leave, especially those taking two weeks or more, are more likely to carry out childcare related activities when children are young. This study finds some evidence that children with highly involved fathers tend to perform better in terms of cognitive test scores. Evidence on the association between fathers’ involvement and behavioural outcomes was however weak. When data on different types of childcare activities was available, results suggest that the kind of involvement matters. These results suggest that what matters is the quality and not the quantity of father-child interactions.
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  • 78
    Language: English
    Pages: Online-Ressource (79 S.) , graph. Darst.
    Series Statement: OECD health working papers 61
    Keywords: Chirurgie ; Vergleich ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: This paper summarises recent international data on rates of five surgical procedures (i.e. caesarean, hysterectomy, prostatectomy, hip replacement and appendectomy) across OECD countries. It examines trends over time and compares age- and sex-specific rates for a recent year, for a sub-set of countries for which data are available. The report shows substantial international variations for most procedures, but also striking similarities between countries; some procedures show universal trends, with trends in rates by sex and age behaving in very similar ways. A full understanding of the reasons for and consequences of different utilisation rates demands a detailed understanding of patterns of illness and patient preferences, incentives embedded within health systems, and above all mechanisms to link activity to outcomes. While recognising the many limitations of the data that exist, the analyses reported here paint a picture of widespread differences in the rates at which certain procedures are performed (e.g. hysterectomy and prostatectomy) yet, for others (e.g. appendectomy), they indicate the emergence of growing international convergence. It is important to recognise that these findings are simply a stimulus to further enquiry into health services. Where variation is observed, there is no way, using these data alone, of knowing which rate is the “right” one in any country. It is not even possible to say that the presence of variation is a sign of important health service delivery problems.
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  • 79
    Language: English
    Pages: Online-Ressource (130 S.) , graph. Darst.
    Series Statement: OECD health working papers 62
    Keywords: Gesundheitsberufe ; Arbeitsnachfrage ; Arbeitsangebot ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: Health workforce planning aims to achieve a proper balance between the supply and demand for different categories of health workers, in both the short and longer-term. Workforce planning in the health sector is particularly important, given the time and cost involved in training new doctors and other health professionals. In a context of tight budget constraints, proper health workforce planning is needed not only to guide policy decisions on entry into medical and nursing education programmes, but also to assess the impact of possible re-organisations in health service delivery to better respond to changing health care needs...
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  • 80
    Language: English
    Pages: Online-Ressource (27 S.) , graph. Darst.
    Series Statement: OECD statistics working papers 2013/02
    Keywords: Humankapital ; Immaterielle Werte ; Vermögen ; Volkswirtschaftliche Gesamtrechnung ; Social Issues/Migration/Health ; Economics ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: Since income is the return on wealth, the total wealth of any given country should be on the order of 20 times its GDP. Instead the average observed ratio from the balance sheet accounts of the System of National Accounts (SNA) is a factor of 2.6 to 6.6, depending on whether natural resource stocks are included in the balance sheet. The clear implication is that the SNA wealth accounts are incomplete, with the most obvious omission being human capital. Estimating the value of human capital using the lifetime income approach for a sample of thirteen (mostly high-income) countries yields a mean share of human capital in total wealth of 62% – four times the value of produced capital and 15 times the value of natural capital. But for selected high income countries in the sample there is still an average of 25% of total wealth which is unaccounted – it is neither produced, nor natural, nor human capital. This residual intangible wealth is arguably the ’stock equivalent’ of total factor productivity – the value of assets such as institutional quality and social capital which augment the capacity of produced, natural and human capital to support a stream of consumption into the future.
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  • 81
    Language: English
    Pages: Online-Ressource (35 S.) , graph. Darst.
    Series Statement: OECD development co-operation working papers 9
    Keywords: Fragiler Staat ; Flüchtlinge ; Internationale Migration ; Social Issues/Migration/Health ; Development ; Arbeitspapier ; Graue Literatur
    Abstract: Fragile states contributed 18 million migrants and 8 million refugees in 2000. More than 20% of these migrants and more than half of the refugees settle in other fragile states. Thus, migration is likely to be both a consequence and a possible cause of conflict and fragility. This paper asks why people from fragile states would want to move to another fragile state. Is it simply a question of jumping out of the frying pan into the fire – that migrants from fragile states have no other options than to settle in another fragile state? To investigate this question I analyse a new set of global data on the sources and destinations of migrants. This analysis generates genuinely new research for INCAF, and reveals that economic factors, such as the pull of higher incomes in destination countries, are important. The paper concludes by discussing how migration from fragile states in search of higher incomes and greater wellbeing is an important development strategy that should be supported. The research suggests that a new concept of development may be needed which looks beyond national borders to the countries where the migrants end up. This will require policies to ensure public acceptability in the host countries, however, such as bilateral agreements, temporary status for immigrants and restricting immigration to specific jobs or perhaps regions.
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  • 82
    Language: English
    Pages: Online-Ressource (39 S.) , graph. Darst.
    Series Statement: OECD economic policy papers 6
    Keywords: Alternde Bevölkerung ; Sterblichkeit ; Gesundheitskosten ; Häusliche Pflege ; Demographie ; Prognoseverfahren ; Social Issues/Migration/Health ; Economics ; Arbeitspapier ; Graue Literatur
    Abstract: This paper proposes a new set of public health and long-term care expenditure projections till 2060, following up on the previous set of projections published in 2006. It disentangles health from longterm care expenditure as well as the demographic from the non-demographic drivers, and refines the previous methodology, in particular by better identifying the underlying determinants of health and long-term care spending and by extending the country coverage to include BRIICS countries. A costcontainment and a cost-pressure scenario are provided together with sensitivity analysis. On average across OECD countries, total health and long-term care expenditure is projected to increase by 3.3 and 7.7 percentage points of GDP between 2010 and 2060 in the cost-containment and the cost-pressure scenarios respectively. For the BRIICS over the same period, it is projected to increase by 2.8 and 7.3 percentage points of GDP in the cost-containment and the cost-pressure scenarios respectively.
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  • 83
    Language: English
    Pages: Online-Ressource (43 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 153
    Keywords: Qualifikation ; Anforderungsprofil ; Unterbeschäftigung ; Erwachsene ; Bildungsniveau ; Theorie ; OECD-Staaten ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: This paper proposes a new measure of skills mismatch that combines information about skill proficiency, self-reported mismatch and skill use. The theoretical foundations underling this measure allow identifying minimum and maximum skill requirements for each occupation and to classify workers into three groups, the well-matched, the under-skilled and the over-skilled. The availability of skill use data further permit the computation of the degree of under and overusage of skills in the economy. The empirical analysis is carried out using the first wave of the OECD Survey of Adult Skills (PIAAC) and the findings are compared across skill domains, labour market status and countries.
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  • 84
    Language: English
    Pages: Online-Ressource (154 S.) , graph. Darst., Kt.
    Series Statement: OECD Local Economic and Employment Development (LEED) working papers 2013/08
    Series Statement: OECD Local Economic and Employment Development (LEED) Papers no.2013/08
    Keywords: Bevölkerungsentwicklung ; Alternde Bevölkerung ; Regionaler Arbeitsmarkt ; Polen ; Social Issues/Migration/Health ; Urban, Rural and Regional Development ; Industry and Services ; Poland ; Arbeitspapier ; Graue Literatur
    Abstract: This report outlines the findings of the Poland case study for the combined study regions of Lódzkie, Malopolska and Pomorskie for the international project, Local scenarios of demographic change. The demographic situation is changing significantly within Poland with two major trends occurring, population decline and population ageing, as a result of decreasing fertility rates and increased life expectancy. However, the Polish case study revealed the complexity of demographic challenges with each region experiencing different issues associated with socio-economic context such as: population ageing experienced in all three study regions; and population shrinkage in Lódzkie. These differences in demographic situations require a territorial, local and regional strategy co-ordinated policy response with national policy efforts. Policy themes and recommendations focus on sustainable economic development, family policy, ageing workforce, silver economy, and skills and education.
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  • 85
    Language: English
    Pages: Online-Ressource (27 S.) , graph. Darst.
    Series Statement: Income inequality and poverty in Colombia 2
    Series Statement: OECD Economics Department working papers 1037
    Series Statement: Income inequality and poverty in Colombia
    Keywords: Einkommensverteilung ; Armut ; Umverteilung ; Kolumbien ; Social Issues/Migration/Health ; Taxation ; Economics ; Colombia ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: Income inequality in Colombia has declined since the early 2000s but remains very high by international standards. While most of the inequality originates from the labour market, wealth – and thus capital income – is also highly concentrated and the tax and transfer system has little redistributive impact. The tax-to-GDP ratio remains low. Consumption taxes, which tend to be regressive, account for the bulk. The progressivity of income taxes had been undermined by generous tax reliefs, which benefit the well-off most and increase tax avoidance opportunities. The tax system should be reformed to enhance progressivity and raise more revenue which could be used to expand social policies. Cash transfers to households are small and dominated by non-redistributive schemes such as contributory pensions. Education coverage has increased steadily but quality and equity in access at the tertiary level remain important issues. Though significant progress has been made towards universal health coverage, the financing and organisation of the health care system could be improved to raise the quality of care and reduce adverse incentives to remain in the informal sector.
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  • 86
    Language: English
    Pages: Online-Ressource (85 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 136
    Keywords: 1995 - 2011 ; Sozialleistungsempfänger ; Sozialreform ; Panel ; Deutschland ; Social Issues/Migration/Health ; Germany ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: In this paper, we study the dynamics of social assistance benefit receipt in Germany using annual survey data from the German Socio-Economic Panel (SOEP) for the years 1995-2011. Rates of benefit receipt were stable in Germany at around 8% in the 1990s but started rising in 2001 to peak at over 12% in 2006. We show that this increase in the receipt rate can be attributed to lower exit rates from benefit receipt since 2001. In the econometric part of the paper, we study state dependence in social assistance benefit receipt, i.e. the question to what extent benefit receipt today predicts the probability of future benefit receipt. We estimate a series of dynamic random-effects probit models that control for unobserved heterogeneity and endogeneity of the initial conditions and indeed find considerable evidence of state dependence. Our estimates suggest that benefit receipt one year ago raises the likelihood of benefit receipt today by a factor of 3, which corresponds to an average partial effect of about 14 percentage points. The level of state dependence differs between subsamples and is larger in absolute terms for women, Eastern German residents, and migrants, for whom receipt rates are higher. Studying variations over time, we find a rise in the level of state dependence after the 2005 Hartz reforms in Eastern Germany. We attribute this effect to a drop in average predicted entry rates into benefit receipt without a corresponding fall in predicted benefit persistence rates. We do not identify any comparable change in structural dependence for Germany as a whole or other subsamples we look at. Since a reform that contributes to keeping individuals off benefits while doing little to raise exit rates would increase state dependence but might nonetheless be considered as beneficial, our findings should not be understood as a verdict on the success or failure of the Hartz reforms.
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  • 87
    Online Resource
    Online Resource
    Paris : OECD
    Language: English
    Pages: Online-Ressource (43 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 152
    Keywords: Lohnrigidität ; Arbeitsmarktsegmentation ; Arbeitsnachfrage ; Kreditrationierung ; Employment ; Social Issues/Migration/Health ; Portugal ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: In this article we study the resilience of the Portuguese labor market, in terms of job flows, employment and wage developments, in the context of the current recession. We single out the huge contribution of job destruction, especially due to the closing of existing firms, to the dramatic decline of total employment and increase of the unemployment rate. We also document the very large increase in the incidence of minimum wage earners and nominal wage freezes. We explored three different channels that may have amplified the employment response to the great recession: the credit channel, the wage rigidity channel, and the labor market segmentation channel. We uncovered what we believe is convincing evidence that the severity of credit constraints played a significant role in the current job destruction process. Wage rigidity is seen to be associated with lower net job creation and higher failure rates of firms. Finally, labor market segmentation seemed to have favored a stronger job destruction that was facilitated by an increasing number of temporary workers
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  • 88
    Language: English
    Pages: Online-Ressource (40 S.) , graph. Darst.
    Series Statement: OECD health working papers 67
    Keywords: Gesundheitsversorgung ; Zeit ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: Waiting times for elective (non-emergency) treatments are a key health policy concern in several OECD countries. This study describes common measures on waiting times across OECD countries from administrative data. It focuses on common elective procedures, like hip and knee replacement, and cataract surgery, where waiting times are notoriously long. It provides comparative data on waiting times across twelve OECD countries and presents trends in waiting times in the last decade. Waiting times appear to be low in the Netherlands and Denmark. In the last decade the United Kingdom (in particular England), Finland and the Netherlands have witnessed large reductions in waiting times which can be attributed to a range of policy initiatives, including higher spending, waiting-times target schemes, and incentive mechanisms which reward higher levels of activity. The negative trend in these countries has however halted in recent years and in some cases reverted. The analysis also emphasizes systematic differences across different waiting-time measures, in particular between the distribution of waiting times of patients treated versus the one of patients on the list. For example, the mean waiting time of patients on the list is generally higher than the mean waiting time of patients treated though we can find examples of the opposite. Mean waiting times are systematically higher than median waiting times and the difference can be quantitatively large.
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  • 89
    Language: English
    Pages: Online-Ressource , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 141
    Keywords: 1970-2010 ; Elternzeit ; Arbeitsmarkt ; Weibliche Arbeitskräfte ; OECD-Staaten ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: This paper considers how entitlements to paid leave after the birth of children affect female labour market outcomes across countries. Such entitlements are granted for various lengths of time and paid at different rates, reflecting the influence of different objectives including: enhancing children’s wellbeing, promoting labour supply, furthering gender equality in labour market outcomes, as well as budget constraints. Although parental care is beneficial for children, there are concerns about the consequences of prolonged periods of leave for labour market outcomes and gender equality. This paper therefore looks at the long-run consequences of extended paid leave on female, male, and gender differences in prime-age (25-54) employment rates, average working hours, and earnings in 30 OECD countries from 1970 to 2010. It finds that extensions of paid leave lengths have a positive, albeit small, influence on female employment rates and on the gender ratio of employment, as long as the total period of paid leave is no longer than approximately two years. Additional weeks of leave, however, exert a negative effect on female employment and the gender employment gap. This paper also finds that weeks of paid leave positively affect the average number of hours worked by women relative to men, though on condition – once again – that the total duration of leave does not exceed certain limits. By contrast, the provision of paid leave widens the earnings gender gap among full-time employees.
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  • 90
    Language: English
    Pages: Online-Ressource (23 S.) , graph. Darst.
    Series Statement: OECD health working papers 60
    Keywords: 2010-2012 ; Gesundheitskosten ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: Health spending slowed markedly or fell in many OECD countries recently after years of continuous growth, according to OECD Health Data 2012. As a result of the global economic crisis which began in 2008, a zero rate of growth in health expenditure was recorded on average in 2010, and preliminary estimates for 2011 suggest that low or negative growth in health spending continued in many of the countries for which data are available.
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  • 91
    Language: English
    Pages: Online-Ressource (70 S.) , graph. Darst.
    Series Statement: OECD statistics working papers 2013/06
    Keywords: Sozialkapital ; Messung ; Definition ; Theorie ; Social Issues/Migration/Health ; Economics ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: This paper looks beyond the broad notion of social capital – which has been applied to a number of different phenomena –in order to clarify (i) the range of different elements that are encompassed by the term; and (ii) what needs to be done to further statistical research and development in order to lay the groundwork for establishing guidelines for better comparative measures in the future. The paper starts by describing the origins of the concept of social capital and the evolution of different approaches in the literature on this subject: it argues that there is not one single interpretation of social capital but rather several different approaches, which need to be more clearly distinguished in order for research and measurement to advance. The paper identifies four main ways in which the concept of “social capital” has been conceptualised and measured -- i) personal relationships; ii) social network support; iii) civic engagement; and iv) trust and cooperative norms -- reflecting different views of what social capital ‘is’ and implying different research agendas. The paper then looks at each of these four area in turn, assessing their meaning, functionings, and areas of policy relevance. Finally, the paper looks at measurement issues, providing examples of the measures on each of the four areas from national and international surveys. Recommendations for further statistical work in the field of social capital measurement are supported by a database of the survey questions used in around 50 surveys worldwide, available at www.oecd.org/std/social-capital-project-and-question-databank.htm.
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  • 92
    Language: English
    Pages: Online-Ressource (43 S.) , graph. Darst., Kt.
    Series Statement: OECD Local Economic and Employment Development (LEED) working papers 2013/13
    Series Statement: OECD Local Economic and Employment Development (LEED) Papers no.2013/13
    Keywords: 1960 - 2010 ; Demographie ; Niederlande ; Social Issues/Migration/Health ; Industry and Services ; Netherlands ; Arbeitspapier ; Graue Literatur
    Abstract: Although the Netherlands population is increasing, the population growth rate, even if fluctuating considerably, has been declining since the 1960s. The Netherland’s age structure since the 1960s has also experienced change such as declining youth, significant increase in 40 to 65 age group, and gradual increases in the 65 to 80+ cohorts. As a result of the changing demography the workforce will be older and this will impact upon the labour market, increasing the number of older workers and reducing the number of new entrants into the labour market. The Netherlands case study revealed the complexity of the demographic challenges occurring within the regions, with each region (Groningen/Drenthe, Limburg and Zeeland) experiencing different issues associated with their socio-economic situations, localised population shrinkage, population ageing, migration, and labour force shortages and skill gaps. The analysis indicate that the Netherlands’ response to demographic change is well advanced, but additional actions can be undertaken, particularly regarding the shrinking and ageing society, and especially within the context of regional and local labour markets.
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  • 93
    Language: English
    Pages: Online-Ressource (32 S.) , graph. Darst.
    Series Statement: OECD health working papers 64
    Keywords: Krankenhausfinanzierung ; Deutschland ; Social Issues/Migration/Health ; Germany ; Arbeitspapier ; Graue Literatur
    Abstract: To help inform a conference organised by the Germany Ministry of Health (BMG) and the OECD on ‘Managing Hospital Volumes’ on the 11th April 2013, the OECD Secretariat produced this paper giving an international perspective on Germany’s situation and the current policy debate. It provides a number of observations about the structure and financing of hospitals in Germany. It begins by arguing that Germany has a more open-ended approach to the financing of hospital services and weaker controls over the hospital budget than in many other OECD countries. In large part this reflects that DRGs in Germany are almost strictly used for pricing, whereas other countries use DRGs as one of many tools they have to influence hospital budgets. This is compounded by a situation where State governments do not have an incentive to rationalise hospital capacity where this may be desirable. Finally, the paper argues that the vast array of quality information available in Germany ought to be used to better direct financing.
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  • 94
    Language: English
    Pages: Online-Ressource (56 S.) , graph. Darst.
    Series Statement: OECD Local Economic and Employment Development (LEED) working papers 2013/05
    Series Statement: OECD Local Economic and Employment Development (LEED) Papers no.2013/05
    Keywords: Kommunale Entwicklung ; Bevölkerungsentwicklung ; Lodz ; Social Issues/Migration/Health ; Urban, Rural and Regional Development ; Industry and Services ; Poland ; Arbeitspapier ; Graue Literatur
    Abstract: This paper outlines the findings of the Poland case study of the Lódzkie region for the international project, Local scenarios of demographic change. The Lódzkie region is located in the central part of Poland, at the intersection of several major arterial roads; Berlin-Moscow and Gdansk-Vienna. Despite the excellent location, the region is affected by several demographic challenges, partly related to the region’s proximity to Warsaw, the Polish capital city. The official strategic documents for regional development have been focused on “hard” infrastructure development, with limited attention being paid to current or future demographic and social challenges, such as the declining and ageing population, which pose significant obstacles to future regional development. Profound public interest in demographic change, however, has resulted in the creation of a plan for 2013-2014 to forestall this predicted depopulation, and also, in the preparation of a demographic development strategy for the following years.
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  • 95
    Language: English
    Pages: Online-Ressource (68 S.) , graph. Darst., Kt.
    Series Statement: OECD Local Economic and Employment Development (LEED) working papers 2013/07
    Series Statement: OECD Local Economic and Employment Development (LEED) Papers no.2013/07
    Keywords: -2050 ; Bevölkerungsentwicklung ; Pommern ; Social Issues/Migration/Health ; Urban, Rural and Regional Development ; Industry and Services ; Poland ; Arbeitspapier ; Graue Literatur
    Abstract: This paper outlines the findings of the Poland case study of the Pomorskie region for the international project, Local scenarios of demographic change. The Pomorskie region is located in the northern part of Poland on the coast of the Baltic Sea, regional boarders were established during the 1999 administrative reforms. Despite the region experiencing population growth, there is a growing share of elderly people in the social structure and the number of people in the pre-working age is decreasing. Although the authorities are aware of the demographic challenges, local and regional policy must be applied to manage the demographic transition, with emphasis being placed on infrastructure and services for the ageing population, developing the silver economy, encouraging life-long learning and examining the opportunities provided by being within the Baltic Sea region.
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  • 96
    Online Resource
    Online Resource
    Paris : OECD
    Language: English
    Pages: Online-Ressource (57 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 145
    Keywords: Weibliche Arbeitskräfte ; Erwerbstätigkeit ; Arbeitsmarkt ; Familienpolitik ; Familie-Beruf ; OECD-Staaten ; Employment ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: This paper analyses the response of female labour force participation to the evolution of labour markets and policies supporting the reconciliation of work and family life. Using country-level data from the early 1980s for 18 OECD countries, we estimate the influence of labour market and institutional characteristics on female labour force participation, and full-time and part-time employment participation. The relationship (interactions, complementarity) between different policy measures is also analyzed, as well as potential variations in the influence of policies across different Welfare regimes. The results first highlight how the increase in female educational attainment, the expansion of the service sector the increase in parttime employment opportunities have boosted women’s participation in the labour force. By contrast, there is no such clear relationship between female employment rates and the growing share of public employment. Employment rates react to changes in tax rates, in leave policies, but the rising provision of childcare formal services to working parents with children not yet three years old is a main policy driver of female labour force participation. Different policy instruments interact with each other to improve overall effectiveness. In particular, the coverage of childcare services is found to have a greater effect on women’s participation in the labour market in countries with relatively high degrees of employment protection. The effect of childcare services on female full-time employment is particularly strong in Anglophone and Nordic countries. In all, the findings suggest that the effect of childcare services on female employment is stronger in the presence of other measures supporting working mothers (as, for instance paid parental leave) while the presence of such supports seems to reduce the effectiveness of financial incentives to work for second earners. The effect of cash benefits for families and the duration of paid leave on female labour force participation also vary across welfare regimes.
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  • 97
    Language: English
    Pages: Online-Ressource (47 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 150
    Keywords: 2002-2010 ; Umverteilung ; USA ; Europa ; Social Issues/Migration/Health ; European Union ; United States ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: Working-age individuals and their families have experienced increases in relative income poverty before the Great Recession (GR), and they have also seen significant income losses since the beginning of the downturn in 2007/8. This paper examines the effects of benefit and tax reforms on the distribution of incomes of non-elderly individuals in Europe and in the United States both before and after the GR. We aim to place recent policy responses in context of both the broader trends in redistribution patterns observed since the 1980s, and the immediate crisis-related challenges, including a much greater need for government support, and large and rapidly growing government debt. Analysis of historical household income data confirms the common finding that redistribution reduces income inequalities by much less in the US than in much of Europe. Since more redistributive tax-transfer systems tend to be more effective as a backstop to widening earnings gaps, redistribution in the US was also less effective at offsetting the substantial increase in the market-income inequality in the 2-3 decades leading up to the GR. Focussing on more recent policy changes, we then calculate income gains and losses that can be attributed to reforms shortly before and after the GR at different points in the earnings spectrum. The results show that a combination of discretionary and automatic policy changes in the US have significantly narrowed the pre-GR gap between the equalising capacities of US and European redistribution measures, and between their abilities to cushion the effects of economic shocks on household income. We argue, however, that this is unlikely to signify any longer-term convergence, and that Europe/US comparisons need to go beyond the common focus on differences in redistribution levels. In our view, an equally important question is how well redistribution measures respond and adapt to evolving social and fiscal challenges at different points in the economic cycle.
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  • 98
    Online Resource
    Online Resource
    Paris : OECD
    Language: English
    Pages: Online-Ressource (29 S.) , graph. Darst.
    Series Statement: Income inequality and poverty in Colombia 1
    Series Statement: OECD Economics Department working papers 1036
    Series Statement: Income inequality and poverty in Colombia
    Keywords: Einkommensverteilung ; Armut ; Arbeitsmarkt ; Kolumbien ; Employment ; Social Issues/Migration/Health ; Economics ; Colombia ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: Income inequality in Colombia has declined since the early 2000s but remains very high by international standards. Income dispersion largely originates from the labour market, which is characterised by a still high unemployment rate, a pervasive informal sector and a wide wage dispersion reflecting a large education premium for those with higher education. Reducing income inequality is a key government objective and this requires improving the performance of the labour market. Raising educational outcomes for all and enhancing training programmes would help improve labour supply and productivity. Formal job creation however remains heavily constrained by restrictive labour market regulations, in particular very substantial non-wage labour costs and a minimum wage which is high compared to average incomes. The 2012 tax reform reduces non-wage labour costs but more decisive steps are needed to create the right conditions and incentives to boost formal employment.
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  • 99
    Language: English
    Pages: Online-Ressource (49 S.) , graph. Darst.
    Series Statement: OECD social, employment and migration working papers 151
    Keywords: Arbeitsmarktpolitik ; Arbeitnehmerschutz ; Befristete Beschäftigung ; Arbeitsmarktsegmentation ; Arbeitsmobilität ; Italien ; Employment ; Social Issues/Migration/Health ; Italy ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: This paper analyses the impact of employment protection (EP) on the composition of the workforce and worker turnover using a unique firm-level dataset for Italy. The impact of employment protection is analysed by means of a regression discontinuity design (RDD) that exploits the variation in EP provisions across firms below and above a size threshold. Using our RDD approach, we show that EP increases worker reallocation, suggesting that EP tends to reduce rather to increase worker security on average. We further show that this can be entirely explained by the fact that firms facing more stringent EP make a greater use of workers on temporary contracts. Our preferred estimates suggest that the discontinuity in EP increases the incidence of temporary work by 2-2.5 percentage points around the threshold. Moreover, further analysis suggests that the effect of employment protection persists among larger firms well beyond the threshold and may account for about 20% of the overall incidence of temporary work. There is also evidence that EP reduces labour productivity and this effect is to an important extent due to the impact of EP on worker reallocation and the incidence of temporary work.
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  • 100
    Language: English
    Pages: Online-Ressource (50 S.) , graph. Darst.
    Series Statement: OECD health working papers 66
    Keywords: Finanzpolitik ; Gesundheitsfinanzierung ; Spezielle Verbrauchsteuer ; OECD-Staaten ; Social Issues/Migration/Health ; Taxation ; Arbeitspapier ; Graue Literatur
    Abstract: Taxes and other fiscal measures on health-related commodities are in widespread use. Alcoholic beverages and tobacco products have been subjected to taxation for a long time in most countries. Several OECD governments have passed legislation to increase existing taxes or to introduce new taxes on foods high in salt, sugar or fat in the past few years. Traditionally, commodity taxes have been primarily seen as a source of fiscal revenues and a way to address consumption externalities. More recently, an increased emphasis has been placed on the potential health benefits of commodity taxation, as evidence emerged of the adverse public health, social and economic consequences of the consumption of a range of commodities. This paper provides a review of the theoretical arguments and empirical evidence on the key factors that governments must address when considering the adoption of fiscal measures for health promotion, highlighting the strengths, as well as the limitations and pitfalls, of specific measures. The main focus of this paper is on taxes on health-related commodities, although a range of other fiscal measures may potentially be used in health promotion. Existing evidence of effects on consumption and health outcomes points to the conclusion that taxes on healthrelated commodities can be a powerful tool for health promotion, although the variety and complexity of the effects they generate require careful consideration by policy makers who intend to adopt new taxes or reform existing ones. The arguments in support of taxes being used to attain public health objectives are strong for tobacco products and alcoholic beverages, but less clear-cut for foods, in which case the value of using taxes is highly dependent on their design and on the context in which they would be applied.
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